BRADLEY JAMES LUTCHKA DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000406

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

JAMES

Last Name

LUTCHKA

Suffix

DMD

Business Name

BRADLEY JAMES LUTCHKA DMD

Original Issue Date

07/29/1996

Effective Date

07/03/2024

Expiration Date

09/30/2027

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

07/03/2024