NATALIE ROSE LUKASZEWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****17

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

ROSE

Last Name

LUKASZEWSKI

Business Name

NATALIE ROSE LUKASZEWSKI

Original Issue Date

11/16/2010

Effective Date

11/16/2010

Expiration Date

03/01/2012

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/16/2012