SPIRO J LAFAZANOS DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****76

License Status

ACTIVE

Business

First Name

SPIRO J

Last Name

LAFAZANOS

Suffix

DDS

Business Name

SPIRO J LAFAZANOS DDS

Original Issue Date

10/13/1993

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60014

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024