MARIELLE SHEA KULLING DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068139

License Status

EXPIRED

Business

Title

First Name

MARIELLE

Middle

SHEA

Last Name

KULLING

Business Name

MARIELLE SHEA KULLING DO

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/02/2019