AUSTIN DOUGLAS LACKE DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033069

License Status

ACTIVE

Business

Title

DMD

First Name

AUSTIN

Middle

DOUGLAS

Last Name

LACKE

Business Name

AUSTIN DOUGLAS LACKE DMD

Original Issue Date

05/21/2021

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/10/2024