COLIN BERGEN MCCULLOCH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075427

License Status

CANCELLED

Business

Title

First Name

COLIN

Middle

BERGEN

Last Name

MCCULLOCH

Business Name

COLIN BERGEN MCCULLOCH MD

Original Issue Date

03/19/2020

Effective Date

03/19/2020

Expiration Date

03/18/2023

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

04/01/2020