JEFFREY MICHAEL LAUTZ DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****38

License Status

ACTIVE

Business

First Name

JEFFREY

Middle

MICHAEL

Last Name

LAUTZ

Suffix

DMD

Business Name

JEFFREY MICHAEL LAUTZ DMD

Original Issue Date

09/21/1998

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

EAST ALTON

State

Zip

62024

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024