LAWRENCE BRUNO LAGROTTERIA DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

CANCELLED

Business

First Name

LAWRENCE BRUNO

Last Name

LAGROTTERIA

Suffix

DDS

Business Name

LAWRENCE BRUNO LAGROTTERIA DDS

Original Issue Date

05/02/1984

Effective Date

05/02/1984

Expiration Date

09/30/1992

City

SCHAUMBURG

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005