RYAN SULLIVAN KUKOR MD 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

RYAN

Middle

SULLIVAN

Last Name

KUKOR

Business Name

RYAN SULLIVAN KUKOR MD

Original Issue Date

07/01/2014

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/20/2024