WILLIAM A LYZAK DMD Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

INOPERATIVE

Business

First Name

WILLIAM A

Last Name

LYZAK

Suffix

DMD

Business Name

WILLIAM A LYZAK DMD

Original Issue Date

08/17/1989

Effective Date

08/17/1989

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005