GINA MICHELLE LUCKIANOW
Licensed Physician Assistant
Illinois 085002378 Not Renewed
This Illinois license was held by GINA MICHELLE LUCKIANOW. The license is no longer active. It was granted on 10/08/2004 and expired on 03/01/2006
LICENSE DETAILS
- License Number: 085002378
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Not Renewed
- Date Granted: 10/08/2004 (over 19 years ago)
- Expiry Date: 03/01/2006 (over 18 years ago)
LOCATIONS
A Address
WAYNE, PA 19087