LUCY BROADDUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

ACTIVE

Business

First Name

LUCY

Last Name

BROADDUS

Business Name

LUCY BROADDUS

Original Issue Date

03/14/2012

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026