HANNAH RAE NUCKOLS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138457

License Status

ACTIVE

Business

Title

First Name

HANNAH

Middle

RAE

Last Name

NUCKOLS

Business Name

HANNAH RAE NUCKOLS DO

Original Issue Date

06/25/2015

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2023