JOHN PHILLIP LAVIERI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

ACTIVE

Business

First Name

JOHN PHILLIP

Last Name

LAVIERI

Suffix

DDS

Business Name

JOHN PHILLIP LAVIERI DDS

Original Issue Date

01/01/1998

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024