TYLER SHAWN LUCAS
Medical Physician And Surgeon
Pennsylvania MD062404L Inactive
This Pennsylvania license was held by TYLER SHAWN LUCAS. The license is no longer active. It was granted on 06/24/1997 and expired on 12/31/2004
LICENSE DETAILS
- License Number: MD062404L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 06/24/1997 (about 27 years ago)
- Expiry Date: 12/31/2004 (over 19 years ago)
LOCATIONS
A Address
NEW YORK NY 10125