MICHAEL DONALD LASK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027432

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

DONALD

Last Name

LASK

Business Name

MICHAEL DONALD LASK

Original Issue Date

06/25/2007

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

09/13/2024