LUCAS ROBERT JOSEPHINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006274

License Status

NOT RENEWED

Business

First Name

LUCAS

Middle

ROBERT

Last Name

JOSEPHINE

Business Name

LUCAS ROBERT JOSEPHINE

Original Issue Date

07/27/2017

Effective Date

07/27/2017

Expiration Date

03/01/2018

City

KANSAS CITY

State

Zip

64155

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/10/2018