ANNELL SARAH TUCKER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005551

License Status

ACTIVE

Business

Title

DPM

First Name

ANNELL

Middle

SARAH

Last Name

TUCKER

Business Name

ANNELL SARAH TUCKER DPM

Original Issue Date

03/04/2013

Effective Date

12/09/2024

Expiration Date

01/31/2027

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025