LUCAS CRAFT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009357

License Status

NOT RENEWED

Business

First Name

LUCAS

Last Name

CRAFT

Business Name

LUCAS CRAFT

Original Issue Date

10/31/2022

Effective Date

10/31/2022

Expiration Date

03/01/2024

City

WAPELLA

State

Zip

61777

County

DE WITT

Ever Disciplined

LastModifiedDate

02/05/2025