CULLEN HOOS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075294

License Status

CANCELLED

Business

Title

First Name

CULLEN

Last Name

HOOS

Business Name

CULLEN HOOS MD

Original Issue Date

07/11/2019

Effective Date

07/11/2019

Expiration Date

07/10/2022

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/11/2019