HANNAH RAE NUCKOLS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062367

License Status

CANCELLED

Business

Title

First Name

HANNAH

Middle

RAE

Last Name

NUCKOLS

Business Name

HANNAH RAE NUCKOLS DO

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

07/02/2015

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014