JAY P GULOTTA DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003444

License Status

INACTIVE

Business

First Name

JAY P

Last Name

GULOTTA

Suffix

Business Name

JAY P GULOTTA DC

Original Issue Date

04/23/1973

Effective Date

07/22/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/11/2017

Case Number

1990002396

Action

Suspension

Discipline Start Date

11/12/1991

Discipline End Date

07/17/1992

Discipline Reason

Criminal conviction for aggravated battery.