JASON M LUCHTEFELD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

First Name

JASON M

Last Name

LUCHTEFELD

Business Name

JASON M LUCHTEFELD

Original Issue Date

03/01/2010

Effective Date

09/11/2021

Expiration Date

09/30/2024

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025