REGINALD T BULKLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075485

License Status

ACTIVE

Business

First Name

REGINALD T

Last Name

BULKLEY

Suffix

Business Name

REGINALD T BULKLEY MD

Original Issue Date

07/18/1987

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/09/2023