REBECCA ANN LAMCZIK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

REBECCA

Middle

ANN

Last Name

LAMCZIK

Business Name

REBECCA ANN LAMCZIK

Original Issue Date

10/30/2001

Effective Date

12/06/2025

Expiration Date

03/01/2028

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/06/2025