MARTIN J LUCENTI JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111310

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

LUCENTI

Prefix

Suffix

Business Name

MARTIN J LUCENTI JR

Original Issue Date

05/19/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023