LAWRENCE JOHN WIATR DDS 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

LAWRENCE JOHN

Last Name

WIATR

Suffix

DDS

Business Name

LAWRENCE JOHN WIATR DDS

Original Issue Date

10/09/1990

Effective Date

10/09/1990

Expiration Date

09/30/1996

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005