JEROME MARION LUKASIK DDS 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

JEROME MARION

Last Name

LUKASIK

Suffix

DDS

Business Name

JEROME MARION LUKASIK DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005