JAMES S MCCULLOCH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****22

NOT RENEWED

N

JAMES S

MCCULLOCH

MD

JAMES S MCCULLOCH MD

01/01/1997

04/11/2011

07/31/2014

EVANSTON

IL

60201

COOK

II III IV V

N

11/17/2014