COLIN BERGEN MCCULLOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162885

License Status

ACTIVE

Business

Title

First Name

COLIN

Middle

BERGEN

Last Name

MCCULLOCH

Business Name

COLIN BERGEN MCCULLOCH MD

Original Issue Date

11/12/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2023