MARY E LUCIDO DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

MARY E

Last Name

LUCIDO

Suffix

DMD

Business Name

MARY E LUCIDO DMD

Original Issue Date

09/30/1991

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009