EBEN EZRA TUCKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106153

License Status

ACTIVE

Business

First Name

EBEN

Middle

EZRA

Last Name

TUCKER

Suffix

Business Name

EBEN EZRA TUCKER MD

Original Issue Date

01/25/2002

Effective Date

09/29/2023

Expiration Date

07/31/2026

City

MERCER ISLAND

State

Zip

98040

Ever Disciplined

LastModifiedDate

09/29/2023