IAN KUCKELMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083904

License Status

EXPIRED

Business

Title

First Name

IAN

Last Name

KUCKELMAN

Business Name

IAN KUCKELMAN MD

Original Issue Date

06/24/2024

Effective Date

06/24/2024

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

11/03/2025