GORDON DALE LUCAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036820

License Status

NOT RENEWED

Business

First Name

GORDON DALE

Last Name

LUCAS

Suffix

Business Name

GORDON DALE LUCAS MD

Original Issue Date

09/08/1960

Effective Date

09/08/1960

Expiration Date

07/31/2005

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/09/2006