JAMES MICHAEL LUCEK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****43

License Status

NOT RENEWED

Business

First Name

JAMES MICHAEL

Last Name

LUCEK

Business Name

JAMES MICHAEL LUCEK

Original Issue Date

09/28/1984

Effective Date

09/28/1984

Expiration Date

09/30/1998

City

DEKALB

State

Zip

60115

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005