REGINALD T BULKLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

First Name

REGINALD T

Last Name

BULKLEY

Suffix

Business Name

REGINALD T BULKLEY MD

Original Issue Date

08/11/1988

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023