SIMON JOSEPH PULLUKAT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

SIMON JOSEPH

Last Name

PULLUKAT

Suffix

Business Name

SIMON JOSEPH PULLUKAT MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

HOFFMAN ESTATES

State

Zip

60195

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006