JEROME MARION LUKASIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014225

License Status

NOT RENEWED

Business

First Name

JEROME MARION

Last Name

LUKASIK

Suffix

DDS

Business Name

JEROME MARION LUKASIK DDS

Original Issue Date

12/06/1971

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/31/2018