EDWARD A LAGA JR Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

EDWARD A

Last Name

LAGA JR

Business Name

EDWARD A LAGA JR

Original Issue Date

04/07/1989

Effective Date

04/07/1989

Expiration Date

09/30/1990

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005