KRISTEN A SCULLIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

KRISTEN A

Last Name

SCULLIN

Business Name

KRISTEN A SCULLIN

Original Issue Date

02/28/1992

Effective Date

02/28/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006