MEREDITH GRACE LUKENS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

MEREDITH

Middle

GRACE

Last Name

LUKENS

Business Name

MEREDITH GRACE LUKENS

Original Issue Date

10/27/2017

Effective Date

12/23/2025

Expiration Date

03/01/2028

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/23/2025