GORDON DALE LUCAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

GORDON DALE

Last Name

LUCAS

Suffix

Business Name

GORDON DALE LUCAS MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1990

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006