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DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
OFFICE OF PROFESSIONAL AND OCCUPATIONAL REGULATION
BOARD OF DENTAL PRACTICE

KEVIN MICHAEL LUKIS, DDS

One or more of the licenses listed below were subject to license/disciplinary action. Details regarding each action can be found below under the affected license.

DENTIST

License Number:
DEN4321
Status:
Expiration Date:
12/31/2025
Licensed By:
Standard

Mailing:
PORTLAND, ME 04102

History

License Type Start Date End Date
DENTIST 01/04/2022 12/31/2025
*** NOT ACTIVE *** 01/01/2022 01/03/2022
DENTIST 06/06/2013 12/31/2021

Employee

None.

PHS Activity

None.

Supervision

Name License Number
ASHLEY D. AASKOV
RAD3507
MONICA K. AASKOV
RDH4114
SONYA BELEN GRASS
RDH3754
SHANNON G. PALERMINO
RDH3562
JANESSA L. SOLARI
RAD3458
AMANDA MAE WORSTER
RDH3528
MATTHEW JOSEPH YIM
RDH4624

Supervision - Clinical Agreement

None.

Supervision - Dental Therapy / Provisional Dental Therapy

None.

Supervision - Public Health

Name Issue Date License Number
SHANNON G. PALERMINO
01/18/2023 RDH3562

Filings

Type Status Received Date Effective Date Expiration Date Cancel Date
PRACTICE AGREEMENT RECEIVED 01/18/2023 01/18/2023

License/Disciplinary Action

Case Action Taken Date
23-45 Consent Agreement 12/13/2024

GENERAL INFORMATION

Education

Type Completion Date Hours Provider
DOCTOR OF DENTAL SURGERY 05/02/2013 Not Available UNIVERSITY OF MICHIGAN

The Office of Professional and Occupational Regulation is providing information about this licensee as a public service. The information on this page is a secure, primary source for license verification. The information on this page is maintained by Office staff and is updated immediately upon a change to our licensing database. The information may not show a complete history. Licensing history prior to January 1, 2000 is unavailable online.

If you need further information, contact us directly.

Date: 05/01/2025 01:05:38 PM