CHAD MICHAEL LUCCI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

MICHAEL

Last Name

LUCCI

Business Name

CHAD MICHAEL LUCCI

Original Issue Date

10/07/2008

Effective Date

08/21/2014

Expiration Date

03/01/2016

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016