ERIKA AMBER LUKAC Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

ERIKA

Middle

AMBER

Last Name

LUKAC

Business Name

ERIKA AMBER LUKAC

Original Issue Date

07/02/2008

Effective Date

01/18/2012

Expiration Date

03/01/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/30/2013