GREGORY MICHAEL SULKOWSKI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

MICHAEL

Last Name

SULKOWSKI

Suffix

Business Name

GREGORY MICHAEL SULKOWSKI MD

Original Issue Date

06/11/2009

Effective Date

06/11/2009

Expiration Date

07/31/2011

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011