AUSTIN DOUGLAS LACKE DMD - Dentist License in Illinois | # 019033069

AUSTIN DOUGLAS LACKE DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033069

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/10/2024