MICHAEL LAPORTA JR DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****39

NOT RENEWED

N

MICHAEL

LAPORTA JR

DDS

MICHAEL LAPORTA JR DDS

01/01/1998

09/30/2006

LAKE VILLA

IL

60046

LAKE

II III IV V

N

11/08/2006