LUCAS ROTH - Physician Assistant License in Illinois | # 085006385

LUCAS ROTH

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006385

License Status

ACTIVE

Business

N

First Name

LUCAS

Last Name

ROTH

Business Name

LUCAS ROTH

Original Issue Date

10/04/2017

Effective Date

02/03/2026

Expiration Date

03/01/2028

State

IL

Ever Disciplined

N

LastModifiedDate

02/03/2026