JEREMY DAVID TUCKER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102955

License Status

NOT RENEWED

Business

First Name

JEREMY

Middle

DAVID

Last Name

TUCKER

Suffix

Business Name

JEREMY DAVID TUCKER DO

Original Issue Date

07/07/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LEONARDTOWN

State

Zip

20650

Ever Disciplined

LastModifiedDate

05/08/2014