CHRISTOPHER MARK HULTS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

MARK

Last Name

HULTS

Suffix

Business Name

CHRISTOPHER MARK HULTS MD

Original Issue Date

07/05/2005

Effective Date

10/23/2008

Expiration Date

07/31/2011

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011