LAURA KYRAS COLONNA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

First Name

LAURA

Last Name

KYRAS COLONNA

Business Name

LAURA KYRAS COLONNA

Original Issue Date

08/31/1984

Effective Date

08/31/1984

Expiration Date

09/30/1992

City

ELBURN

State

Zip

60119

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005