NATASHA NICOLE LUCKEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052772

License Status

EXPIRED

Business

Title

First Name

NATASHA

Middle

NICOLE

Last Name

LUCKEY

Business Name

NATASHA NICOLE LUCKEY MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Specialty/Qualifier

Plastic Surgery

Ever Disciplined

LastModifiedDate

10/07/2013