LUCAS CRAFT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

NOT RENEWED

Business

First Name

LUCAS

Last Name

CRAFT

Business Name

LUCAS CRAFT

Original Issue Date

01/04/2023

Effective Date

01/04/2023

Expiration Date

03/01/2024

City

MILWAUKEE

State

Zip

53202

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025