RICHARD G LUCAS JR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044282

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

LUCAS JR

Business Name

RICHARD G LUCAS JR

Original Issue Date

06/22/2002

Effective Date

06/22/2002

Expiration Date

06/30/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Nuclear Medicine

Ever Disciplined

LastModifiedDate

09/22/2006