LANIEL G RAZDOLSKY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

LANIEL

Middle

Last Name

RAZDOLSKY

Business Name

LANIEL G RAZDOLSKY

Original Issue Date

06/11/2014

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024