CHARLES T LUECKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

CHARLES T

Last Name

LUECKER

Suffix

Business Name

CHARLES T LUECKER MD

Original Issue Date

09/01/1987

Effective Date

09/01/1987

Expiration Date

07/31/1993

City

VALPARAISO

State

Zip

46383

County

INDIANA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/09/2006