MARY E LUCIDO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

LUCIDO

Suffix

DMD

Business Name

MARY E LUCIDO DMD

Original Issue Date

03/28/2003

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022