KRISTINE P PULTORAK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

ACTIVE

Business

First Name

KRISTINE P

Last Name

PULTORAK

Suffix

Business Name

KRISTINE P PULTORAK DO

Original Issue Date

12/19/1995

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

HAZELHURST

State

Zip

54531

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023