LACEY S HAUK Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

HAUK

Business Name

LACEY S HAUK

Original Issue Date

06/09/2009

Effective Date

09/18/2024

Expiration Date

09/30/2027

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/18/2024