KATYANN MARIE LUCEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

ACTIVE

Business

First Name

KATYANN

Middle

MARIE

Last Name

LUCEY

Business Name

KATYANN MARIE LUCEY

Original Issue Date

01/25/2022

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2026