JOHN PAUL KUCKELMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167633

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

PAUL

Last Name

KUCKELMAN

Business Name

JOHN PAUL KUCKELMAN DO

Original Issue Date

11/07/2023

Effective Date

11/07/2023

Expiration Date

07/31/2026

City

AUGUSTA

State

Zip

30907

Ever Disciplined

LastModifiedDate

11/07/2023