THERESA B LAO 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

THERESA B

Last Name

LAO

Suffix

DDS

Business Name

THERESA B LAO DDS

Original Issue Date

09/04/1997

Effective Date

09/04/1997

Expiration Date

09/30/1998

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005