MICHAEL ALLAN LAMARCA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

ALLAN

Last Name

LAMARCA

Business Name

MICHAEL ALLAN LAMARCA DDS

Original Issue Date

10/25/2012

Effective Date

10/25/2012

Expiration Date

09/30/2015

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016