LORI ANN MCCULLOUGH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

LORI

Middle

ANN

Last Name

MCCULLOUGH

Business Name

LORI ANN MCCULLOUGH

Original Issue Date

05/28/2015

Effective Date

01/20/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/20/2026