ALEXANDER THOMAS MCCULLOCH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061609

License Status

NOT RENEWED

Business

First Name

ALEXANDER THOMAS

Last Name

MCCULLOCH JR

Suffix

Business Name

ALEXANDER THOMAS MCCULLOCH JR MD

Original Issue Date

02/11/1981

Effective Date

02/11/1981

Expiration Date

07/31/1984

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006