MICHAEL ALLAN LAMARCA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****82

License Status

NOT RENEWED

Business

Title

DDS

First Name

MICHAEL

Middle

ALLAN

Last Name

LAMARCA

Business Name

MICHAEL ALLAN LAMARCA DDS

Original Issue Date

08/20/2004

Effective Date

11/13/2015

Expiration Date

09/30/2018

City

PRAIRIE DU CHIEN

State

Zip

53821

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018