ERIKA AMBER LUKAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003237

License Status

NOT RENEWED

Business

First Name

ERIKA

Middle

AMBER

Last Name

LUKAC

Business Name

ERIKA AMBER LUKAC

Original Issue Date

07/02/2008

Effective Date

01/18/2012

Expiration Date

03/01/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/08/2014