TUCKER NATHANIEL JEPPSON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077116

License Status

EXPIRED

Business

Title

First Name

TUCKER

Middle

NATHANIEL

Last Name

JEPPSON

Business Name

TUCKER NATHANIEL JEPPSON DO

Original Issue Date

07/01/2023

Effective Date

07/01/2023

Expiration Date

06/30/2025

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

11/03/2025