JEANNE M LUKAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002525

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

LUKAC

Business Name

JEANNE M LUKAC

Original Issue Date

08/08/2005

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

ROSEMONT

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022