MICHAEL ALEXANDER CERULLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ALEXANDER

Last Name

CERULLO

Business Name

MICHAEL ALEXANDER CERULLO MD

Original Issue Date

09/10/2024

Effective Date

09/10/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/10/2024