DONALD JAY LUCAS MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****56

NOT RENEWED

N

MD

DONALD

JAY

LUCAS

DONALD JAY LUCAS MD

07/12/2019

09/01/2020

07/31/2023

ROCKFORD

IL

61103

WINNEBAGO

PRACTITIONER

II III IV V

N

11/30/2023