GARRETT A MCNULTY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000738

License Status

EXPIRED

Business

Title

First Name

GARRETT

Middle

Last Name

MCNULTY

Business Name

GARRETT A MCNULTY MD

Original Issue Date

06/01/2017

Effective Date

06/01/2017

Expiration Date

11/28/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/04/2018