LAWRENCE ANTHONY TOMAZIN JR Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

CANCELLED

Business

First Name

LAWRENCE ANTHONY

Last Name

TOMAZIN JR

Business Name

LAWRENCE ANTHONY TOMAZIN JR

Original Issue Date

06/06/1997

Effective Date

06/06/1997

Expiration Date

09/30/2002

City

LEMONT

State

Zip

60439

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005