PHILIP K MCCULLOUGH JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

PHILIP K

Last Name

MCCULLOUGH JR

Suffix

Business Name

PHILIP K MCCULLOUGH JR MD

Original Issue Date

01/01/1997

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023