THERESA ANN CULLEN Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016320

License Status

EXPIRED

Business

First Name

THERESA ANN

Last Name

CULLEN

Business Name

THERESA ANN CULLEN

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006