NICHOLAS DANIEL LUKERT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071966

License Status

EXPIRED

Business

Title

First Name

NICHOLAS

Middle

DANIEL

Last Name

LUKERT

Business Name

NICHOLAS DANIEL LUKERT MD

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2021

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/11/2022