JACQUELYN MICHELLE KUKULSKI DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036157681

License Status

ACTIVE

Business

Title

First Name

JACQUELYN

Middle

MICHELLE

Last Name

KUKULSKI

Business Name

JACQUELYN MICHELLE KUKULSKI DO

Original Issue Date

07/14/2021

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/03/2023