LUCAS KLYE CAMPBELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113864

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

KLYE

Last Name

CAMPBELL

Suffix

Business Name

LUCAS KLYE CAMPBELL MD

Original Issue Date

06/14/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FAYETTEVILLE

State

Zip

72703

County

WASHINGTON

Ever Disciplined

LastModifiedDate

11/06/2008