LAURA HULTEEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

Title

First Name

LAURA

Last Name

HULTEEN

Business Name

LAURA HULTEEN MD

Original Issue Date

06/08/2019

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62264

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023