JONATHAN RUSSELL THOMULKA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152976

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RUSSELL

Last Name

THOMULKA

Business Name

JONATHAN RUSSELL THOMULKA DO

Original Issue Date

05/13/2020

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/21/2023