CHARLES DAVID LUCKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009378

License Status

ACTIVE

Business

First Name

CHARLES

Middle

DAVID

Last Name

LUCKE

Business Name

CHARLES DAVID LUCKE

Original Issue Date

11/05/2022

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Ever Disciplined

LastModifiedDate

01/22/2026