MARY T LUKANCIC MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MARY T

Last Name

LUKANCIC

Suffix

Business Name

MARY T LUKANCIC MD

Original Issue Date

04/22/1994

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

RIVER FOREST

State

Zip

60305

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020