CHARLES DAVID LUCKE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

ACTIVE

Business

First Name

CHARLES

Middle

DAVID

Last Name

LUCKE

Business Name

CHARLES DAVID LUCKE

Original Issue Date

01/17/2023

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

SKOKIE

State

Zip

60077

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026