LUCAS PETTIT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

NOT RENEWED

Business

First Name

LUCAS

Last Name

PETTIT

Business Name

LUCAS PETTIT

Original Issue Date

04/16/2020

Effective Date

04/16/2020

Expiration Date

03/01/2022

City

CRESTWOOD

State

Zip

60418

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022