JONATHAN R LUCKING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161569

License Status

ACTIVE

Business

First Name

JONATHAN

Middle

Last Name

LUCKING

Suffix

Business Name

JONATHAN R LUCKING MD

Original Issue Date

07/20/2022

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/19/2023