ANNA R CULLOTTA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

INOPERATIVE

Business

First Name

ANNA

Middle

Last Name

CULLOTTA

Business Name

ANNA R CULLOTTA

Original Issue Date

10/11/2007

Effective Date

02/14/2022

Expiration Date

03/01/2024

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023