PATRICIA A LUKASAVAGE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

LUKASAVAGE

Suffix

DDS

Business Name

PATRICIA A LUKASAVAGE DDS

Original Issue Date

04/14/2010

Effective Date

04/14/2010

Expiration Date

09/30/2012

City

BURLINGTON

State

Zip

05401

County

VERMONT

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012