JANET CHARLEEN RUCKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114189

License Status

NOT RENEWED

Business

First Name

JANET

Middle

CHARLEEN

Last Name

RUCKER

Suffix

Business Name

JANET CHARLEEN RUCKER MD

Original Issue Date

07/15/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

NEW YORK

State

Zip

10128

Ever Disciplined

LastModifiedDate

07/17/2017