DYLAN D LUCAS - Physical Therapist License in Illinois | # 160007643

DYLAN D LUCAS

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160007643

License Status

NOT RENEWED

Business

N

First Name

DYLAN

Middle

D

Last Name

LUCAS

Business Name

DYLAN D LUCAS

Original Issue Date

08/17/2016

Effective Date

10/01/2019

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/19/2022