MICHAEL A LUCKETT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****23

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

LUCKETT

Suffix

DMD

Business Name

MICHAEL A LUCKETT DMD

Original Issue Date

09/30/1985

Effective Date

09/30/1985

Expiration Date

09/30/2000

City

HINSDALE

State

Zip

60521

County

DUPAGE

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/17/2005