COURTLIN DEAN CULBREATH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076059

License Status

CANCELLED

Business

Title

First Name

COURTLIN

Middle

DEAN

Last Name

CULBREATH

Business Name

COURTLIN DEAN CULBREATH MD

Original Issue Date

06/26/2020

Effective Date

06/26/2020

Expiration Date

06/25/2023

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/01/2020