LAWRENCE WALTER HOLLATZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

LAWRENCE WALTER

Last Name

HOLLATZ

Suffix

DDS

Business Name

LAWRENCE WALTER HOLLATZ DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2000

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II IV V

Ever Disciplined

LastModifiedDate

10/17/2005