THOMAS WILLIAM TULLY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

CANCELLED

Business

First Name

THOMAS WILLIAM

Last Name

TULLY

Suffix

Business Name

THOMAS WILLIAM TULLY MD

Original Issue Date

01/01/1997

Effective Date

01/01/1997

Expiration Date

07/31/2008

City

LAKE FOREST

State

Zip

60045

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008