MICHAEL J LUECK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001865

License Status

NOT RENEWED

Business

Title

DMD

First Name

MICHAEL

Middle

Last Name

LUECK

Business Name

MICHAEL J LUECK DMD

Original Issue Date

11/08/2012

Effective Date

01/31/2013

Expiration Date

06/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

01/07/2016