SHAWN P CULLEN - Medical Doctor License in Illinois | # 125045877

SHAWN P CULLEN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045877

License Status

EXPIRED

Business

N

First Name

SHAWN

Middle

P

Last Name

CULLEN

Business Name

SHAWN P CULLEN

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

State

IL

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006