LUCILLE MARIE LUGOWSKI Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****13

License Status

NOT RENEWED

Business

First Name

LUCILLE MARIE

Last Name

LUGOWSKI

Business Name

LUCILLE MARIE LUGOWSKI

Original Issue Date

09/14/1982

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

FORD HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012