LANETTE M DISERA-GEISSLER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

LANETTE

Middle

Last Name

DISERA-GEISSLER

Suffix

DDS

Business Name

LANETTE M DISERA-GEISSLER DDS

Original Issue Date

08/27/1987

Effective Date

08/27/1987

Expiration Date

09/30/1990

City

BERWYN

State

Zip

60402

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005