JOANNE L LAZARSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

NOT RENEWED

Business

First Name

JOANNE L

Last Name

LAZARSKI

Business Name

JOANNE L LAZARSKI

Original Issue Date

05/15/1986

Effective Date

05/15/1986

Expiration Date

09/30/1998

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005