RANDALL K CULLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094632

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

CULLEN

Suffix

Business Name

RANDALL K CULLEN MD

Original Issue Date

12/24/1996

Effective Date

12/24/1996

Expiration Date

07/31/2002

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

10/09/2006