DEBRA LUCAS ELDRIDGE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

First Name

DEBRA LUCAS

Last Name

ELDRIDGE

Business Name

DEBRA LUCAS ELDRIDGE

Original Issue Date

03/11/1996

Effective Date

03/11/1996

Expiration Date

09/30/1996

City

FORD HEIGHTS

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005