LUCAS FREDERICK SAGE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071784

License Status

CANCELLED

Business

Title

First Name

LUCAS

Middle

FREDERICK

Last Name

SAGE

Business Name

LUCAS FREDERICK SAGE DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/20/2019