KELLI SUZANNE BUCKNER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151627

License Status

ACTIVE

Business

Title

First Name

KELLI

Middle

SUZANNE

Last Name

BUCKNER

Business Name

KELLI SUZANNE BUCKNER DO

Original Issue Date

01/23/2020

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

BROADVIEW HEIGHTS

State

Zip

44147

Ever Disciplined

LastModifiedDate

06/16/2023