RYAN E LUEKING Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****63

License Status

INOPERATIVE

Business

First Name

RYAN

Middle

Last Name

LUEKING

Business Name

RYAN E LUEKING

BusinessDBA

LUEKING

Original Issue Date

08/11/2015

Effective Date

08/11/2015

Expiration Date

03/01/2016

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/21/2016