STEVEN J ULLENIUS 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

First Name

STEVEN

Middle

Last Name

ULLENIUS

Suffix

Business Name

STEVEN J ULLENIUS MD

Original Issue Date

06/29/1999

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023