ERIK B KULSTAD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

Last Name

KULSTAD

Business Name

ERIK B KULSTAD

Original Issue Date

08/28/2003

Effective Date

04/17/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021