BRIAN P MCCULLOCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

BRIAN P

Last Name

MCCULLOCH

Suffix

Business Name

BRIAN P MCCULLOCH MD

Original Issue Date

07/19/1988

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023