RITA L LACKOVICH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007572

License Status

NOT RENEWED

Business

First Name

RITA L

Last Name

LACKOVICH

Business Name

RITA L LACKOVICH

Original Issue Date

10/12/1991

Effective Date

09/29/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/04/2025