JEFFREY A CULLEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JEFFREY A

Last Name

CULLEN

Business Name

JEFFREY A CULLEN

Original Issue Date

06/24/2008

Effective Date

07/25/2014

Expiration Date

07/31/2017

City

LANSING

State

Zip

60438

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020