MARK ALAN TUCKFELT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043793

License Status

NOT RENEWED

Business

First Name

MARK ALAN

Last Name

TUCKFELT

Suffix

Business Name

MARK ALAN TUCKFELT MD

Original Issue Date

09/24/1970

Effective Date

09/24/1970

Expiration Date

07/01/1972

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2014