CHAD MICHAEL LUCCI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003263

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

MICHAEL

Last Name

LUCCI

Business Name

CHAD MICHAEL LUCCI

Original Issue Date

08/01/2008

Effective Date

02/28/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016