LAWRENCE BRUNO LAGROTTERIA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****67

License Status

CANCELLED

Business

First Name

LAWRENCE BRUNO

Last Name

LAGROTTERIA

Suffix

DDS

Business Name

LAWRENCE BRUNO LAGROTTERIA DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005