JEREMY E KULACZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

JEREMY

Middle

Last Name

KULACZ

Business Name

JEREMY E KULACZ MD

Original Issue Date

07/02/2019

Effective Date

09/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2020