TODD L LUCAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091006

License Status

NOT RENEWED

Business

First Name

TODD L

Last Name

LUCAS

Business Name

TODD L LUCAS

Original Issue Date

06/24/1995

Effective Date

06/24/1995

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/18/2014