LORI ANN MCCULLOUGH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005433

License Status

ACTIVE

Business

First Name

LORI

Middle

ANN

Last Name

MCCULLOUGH

Business Name

LORI ANN MCCULLOUGH

Original Issue Date

03/03/2015

Effective Date

01/07/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/07/2026