FREDRIC C KULLBERG MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042005109

License Status

NOT RENEWED

Business

Business Name

FREDRIC C KULLBERG MD SC

Original Issue Date

05/25/1982

Effective Date

11/12/2015

Expiration Date

01/01/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017