ANNELL SARAH TUCKER DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****04

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

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025