TODD L LUCAS Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030181

License Status

EXPIRED

Business

First Name

TODD L

Last Name

LUCAS

Business Name

TODD L LUCAS

Original Issue Date

06/08/1993

Effective Date

06/08/1993

Expiration Date

06/30/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006