LAURENCE R DAITCH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

LAURENCE R

Last Name

DAITCH

Suffix

DDS

Business Name

LAURENCE R DAITCH DDS

Original Issue Date

01/04/1989

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/01/2024