GARY JOSHUA LUCAS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001370

License Status

EXPIRED

Business

Title

First Name

GARY

Middle

JOSHUA

Last Name

LUCAS

Business Name

GARY JOSHUA LUCAS MD

Original Issue Date

12/02/2020

Effective Date

12/02/2020

Expiration Date

03/01/2021

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/20/2021