CAROLYN STULL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071779

License Status

EXPIRED

Business

First Name

CAROLYN

Last Name

STULL

Business Name

CAROLYN STULL

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60123

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

10/11/2022