LAWRENCE ANTHONY TOMAZIN JR Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****50

License Status

ACTIVE

Business

First Name

LAWRENCE ANTHONY

Last Name

TOMAZIN JR

Business Name

LAWRENCE ANTHONY TOMAZIN JR

Original Issue Date

08/15/1985

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

CICERO

State

Zip

60804

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

08/07/2024