THOMAS MICHAEL HULSEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

First Name

THOMAS

Middle

MICHAEL

Last Name

HULSEN

Suffix

Business Name

THOMAS MICHAEL HULSEN MD

Original Issue Date

08/20/2003

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023