LUCAS DOMINIC MARTINEZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010366

License Status

ACTIVE

Business

First Name

LUCAS

Middle

DOMINIC

Last Name

MARTINEZ

Business Name

LUCAS DOMINIC MARTINEZ

Original Issue Date

02/11/2024

Effective Date

02/11/2024

Expiration Date

03/01/2026

City

COLORADO SPRINGS

State

Zip

80924

Ever Disciplined

LastModifiedDate

12/03/2025