BRIAN P LUCAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102128

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

LUCAS

Suffix

Business Name

BRIAN P LUCAS MD

Original Issue Date

03/14/2000

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

NORWICH

State

Zip

05055

County

VERMONT

Ever Disciplined

LastModifiedDate

11/01/2017