MARTIN J LUCENTI JR Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

MARTIN

Middle

Last Name

LUCENTI

Prefix

Suffix

Business Name

MARTIN J LUCENTI JR

Original Issue Date

06/17/2004

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023