EDITH M CULLEN MD - Medical Doctor License in Illinois | # 125048275

EDITH M CULLEN MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048275

License Status

EXPIRED

Business

N

First Name

EDITH

Middle

M

Last Name

CULLEN

Suffix

MD

Business Name

EDITH M CULLEN MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006