ANDREW ALBERT TULLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069339

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

ALBERT

Last Name

TULLY

Business Name

ANDREW ALBERT TULLY MD

Original Issue Date

06/24/2017

Effective Date

06/24/2017

Expiration Date

06/23/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

03/21/2018