NATALIE ROSE LUKASZEWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003847

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

ROSE

Last Name

LUKASZEWSKI

Business Name

NATALIE ROSE LUKASZEWSKI

Original Issue Date

09/07/2010

Effective Date

09/07/2010

Expiration Date

03/01/2012

City

MT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2012