ANTHONY JARED LUCCA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004991

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

JARED

Last Name

LUCCA

Business Name

ANTHONY JARED LUCCA

Original Issue Date

02/25/2014

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/20/2026