GLADSTONE AUGUSTINE TUCKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

First Name

GLADSTONE

Middle

AUGUSTINE

Last Name

TUCKER

Suffix

Business Name

GLADSTONE AUGUSTINE TUCKER MD

Original Issue Date

08/04/2004

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

PERRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023