JENNIFER MARIE DELUKA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

JENNIFER

Middle

MARIE

Last Name

DELUKA

Business Name

JENNIFER MARIE DELUKA

Original Issue Date

04/23/2013

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023