DAVID WAYNE LUCKETT Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011778

License Status

NOT RENEWED

Business

First Name

DAVID WAYNE

Last Name

LUCKETT

Business Name

DAVID WAYNE LUCKETT

Original Issue Date

08/10/1960

Effective Date

08/10/1960

Expiration Date

09/30/2002

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1999008425

Action

Probation

Discipline Start Date

09/28/2002

Discipline End Date

09/27/2004

Discipline Reason

Provided substandard care by failing to diagnose and treat periodontal disease in two patients, and failed to keep and store adequate records.