PATRICK CALLAHAN MCCULLOCH 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

PATRICK

Middle

CALLAHAN

Last Name

MCCULLOCH

Suffix

Business Name

PATRICK CALLAHAN MCCULLOCH MD

Original Issue Date

05/31/2005

Effective Date

05/31/2005

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011