DORIS Y MCCULLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

DORIS Y

Last Name

MCCULLEY

Suffix

Business Name

DORIS Y MCCULLEY MD

Original Issue Date

07/07/2005

Effective Date

06/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020