JENNIFER ANNE KOTRADY CULL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

Title

First Name

JENNIFER

Middle

ANNE KOTRADY

Last Name

CULL

Business Name

JENNIFER ANNE KOTRADY CULL MD

Original Issue Date

08/10/2022

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023