ADAM J LAWRENCE DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

CANCELLED

Business

Title

DDS

First Name

ADAM

Middle

Last Name

LAWRENCE

Business Name

ADAM J LAWRENCE DDS

Original Issue Date

10/01/2022

Effective Date

10/01/2022

Expiration Date

09/30/2024

City

OSWEGO

State

Zip

60543

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2022