ANDY ROY LAZO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

Title

DMD

First Name

ANDY

Middle

ROY

Last Name

LAZO

Business Name

ANDY ROY LAZO DMD

Original Issue Date

09/09/2024

Effective Date

09/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60623

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/09/2024