FELVA COLLIE LUCK - Physician Assistant License in Illinois | # 085003593

FELVA COLLIE LUCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003593

License Status

NOT RENEWED

Business

N

First Name

FELVA

Middle

COLLIE

Last Name

LUCK

Business Name

FELVA COLLIE LUCK

Original Issue Date

09/18/2009

Effective Date

03/02/2012

Expiration Date

03/01/2014

State

IL

Ever Disciplined

N

LastModifiedDate

04/08/2014