DAVID BRADY LAZZARA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****99

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADY

Last Name

LAZZARA

Business Name

DAVID BRADY LAZZARA

Original Issue Date

12/24/2014

Effective Date

06/12/2015

Expiration Date

09/30/2018

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018