JONATHAN RUSSELL THOMULKA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

RUSSELL

Last Name

THOMULKA

Business Name

JONATHAN RUSSELL THOMULKA DO

Original Issue Date

05/13/2020

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023