MICHAEL A LUCKETT DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****34

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

LUCKETT

Suffix

DMD

Business Name

MICHAEL A LUCKETT DMD

Original Issue Date

08/09/1999

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024