FREDRIC C KULLBERG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

FREDRIC C

Last Name

KULLBERG

Suffix

Business Name

FREDRIC C KULLBERG MD

Original Issue Date

01/01/1997

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023