JOHN PHILLIP LAVIERI DDS 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

JOHN PHILLIP

Last Name

LAVIERI

Suffix

DDS

Business Name

JOHN PHILLIP LAVIERI DDS

Original Issue Date

07/03/2012

Effective Date

08/24/2015

Expiration Date

09/30/2018

City

LA SALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018