JEREMY DAVID TUCKER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038508

License Status

EXPIRED

Business

First Name

JEREMY

Middle

DAVID

Last Name

TUCKER

Suffix

Business Name

JEREMY DAVID TUCKER DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006