LAZMA DEEB DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

ACTIVE

Business

Title

DMD

First Name

LAZMA

Last Name

DEEB

Business Name

LAZMA DEEB DMD

Original Issue Date

08/07/2024

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

HOMER GLEN

State

Zip

60491

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/07/2024