ERIC THOMAS CULP DO - Medical Doctor License in Illinois | # 125048550

ERIC THOMAS CULP DO

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048550

License Status

CANCELLED

Business

N

First Name

ERIC

Middle

THOMAS

Last Name

CULP

Suffix

DO

Business Name

ERIC THOMAS CULP DO

Original Issue Date

06/22/2004

Effective Date

06/22/2004

Expiration Date

06/21/2007

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

07/25/2007