MICHAEL ELI LUCKEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012676

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ELI

Last Name

LUCKEY

Business Name

MICHAEL ELI LUCKEY

Original Issue Date

09/10/2008

Effective Date

08/06/2009

Expiration Date

09/30/2012

City

LIBERTY

State

Zip

62347

County

ADAMS

Ever Disciplined

LastModifiedDate

11/14/2012