WILLIAM ALEXANDE YACULLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

WILLIAM ALEXANDE

Last Name

YACULLO

Suffix

Business Name

WILLIAM ALEXANDE YACULLO MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

ELMWOOD PARK

State

Zip

60635

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

1978000003

Action

Suspension

Discipline Start Date

05/05/1980