LUCAS FREDERICK SAGE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

LUCAS

Middle

FREDERICK

Last Name

SAGE

Business Name

LUCAS FREDERICK SAGE DO

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/20/2023