NATASHA NICOLE LUCKEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134908

License Status

NOT RENEWED

Business

Title

First Name

NATASHA

Middle

NICOLE

Last Name

LUCKEY

Business Name

NATASHA NICOLE LUCKEY MD

Original Issue Date

04/03/2014

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021