EDWARD PETER LACO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

PETER

Last Name

LACO

Business Name

EDWARD PETER LACO

Original Issue Date

10/04/2002

Effective Date

10/03/2021

Expiration Date

09/30/2024

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025