ALFONSO A LAPELUSA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

ALFONSO A

Last Name

LAPELUSA

Business Name

ALFONSO A LAPELUSA

Original Issue Date

08/18/1987

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

DEERFIELD

State

Zip

60015

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022