PATRICIA A LUKASAVAGE DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001548

License Status

EXPIRED

Business

First Name

PATRICIA

Middle

Last Name

LUKASAVAGE

Suffix

DDS

Business Name

PATRICIA A LUKASAVAGE DDS

Original Issue Date

06/03/2005

Effective Date

06/03/2005

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

07/15/2009