JOEL EMERY MCCULLOUGH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

EMERY

Last Name

MCCULLOUGH

Business Name

JOEL EMERY MCCULLOUGH

Original Issue Date

01/24/2002

Effective Date

09/03/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011