JUDITH M STUCKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

JUDITH

Middle

Last Name

STUCKI

Suffix

Business Name

JUDITH M STUCKI MD

Original Issue Date

08/20/2018

Effective Date

08/20/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021