ALBERT LEROY TRUCKER Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038072

License Status

NOT RENEWED

Business

First Name

ALBERT

Middle

LEROY

Last Name

TRUCKER

Business Name

ALBERT LEROY TRUCKER

Original Issue Date

09/20/1962

Effective Date

09/20/1962

Expiration Date

07/01/1963

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006