CHRISTINE E KULSTAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

KULSTAD

Business Name

CHRISTINE E KULSTAD

Original Issue Date

10/18/2004

Effective Date

04/21/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017