LAURA LAITA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

LAURA

Last Name

LAITA

Suffix

DDS

Business Name

LAURA LAITA DDS

Original Issue Date

08/19/1981

Effective Date

08/20/2009

Expiration Date

09/30/2012

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012