MARY ELLEN LUCHETTI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149265

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

ELLEN

Last Name

LUCHETTI

Business Name

MARY ELLEN LUCHETTI MD

Original Issue Date

05/01/2019

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

MERIDIAN

State

Zip

83642

Ever Disciplined

LastModifiedDate

07/30/2023