JACK M BULMASH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

BULMASH

Suffix

Business Name

JACK M BULMASH MD

Original Issue Date

10/10/1983

Effective Date

05/28/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023