THELMA WILEY LUCAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

THELMA

Middle

WILEY

Last Name

LUCAS

Suffix

Business Name

THELMA WILEY LUCAS MD

Original Issue Date

10/21/1991

Effective Date

10/21/1991

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008