JEANNE M LUKAC Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****32

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

LUKAC

Business Name

JEANNE M LUKAC

Original Issue Date

10/17/2006

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

ROSEMONT

State

Zip

60018

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020