ANTHONY JARED LUCCA Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

ACTIVE

Business

First Name

ANTHONY

Middle

JARED

Last Name

LUCCA

Business Name

ANTHONY JARED LUCCA

Original Issue Date

02/25/2014

Effective Date

02/20/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/20/2026