SHAWN P CULLEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

SHAWN

Middle

Last Name

CULLEN

Business Name

SHAWN P CULLEN

Original Issue Date

07/14/2005

Effective Date

12/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014