KRISTY L LUCIANO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

Last Name

LUCIANO

Business Name

KRISTY L LUCIANO

Original Issue Date

03/22/2001

Effective Date

12/28/2011

Expiration Date

03/01/2014

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/10/2012