LUCAS M HACKMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009369

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

Last Name

HACKMANN

Business Name

LUCAS M HACKMANN

Original Issue Date

11/04/2022

Effective Date

11/04/2022

Expiration Date

03/01/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/05/2025