NANCY AUDREY TUCKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104812

License Status

NOT RENEWED

Business

First Name

NANCY

Middle

AUDREY

Last Name

TUCKER

Suffix

Business Name

NANCY AUDREY TUCKER MD

Original Issue Date

05/23/2001

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008