LASZLO ANTAL VIDA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

NOT RENEWED

Business

First Name

LASZLO ANTAL

Last Name

VIDA

Suffix

DDS

Business Name

LASZLO ANTAL VIDA DDS

Original Issue Date

05/10/2007

Effective Date

08/14/2012

Expiration Date

09/30/2015

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016