DARLENE S LUTCHKA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

First Name

DARLENE

Middle

Last Name

LUTCHKA

Business Name

DARLENE S LUTCHKA

Original Issue Date

12/16/2004

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023