JOHN PHILLIP LAVIERI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

NOT RENEWED

Business

First Name

JOHN PHILLIP

Last Name

LAVIERI

Suffix

DDS

Business Name

JOHN PHILLIP LAVIERI DDS

Original Issue Date

09/18/2017

Effective Date

09/18/2017

Expiration Date

09/30/2018

City

MORRIS

State

Zip

60450

County

GRUNDY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018