CULLAN ROBERT REILLY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005496

License Status

NOT RENEWED

Business

First Name

CULLAN

Middle

ROBERT

Last Name

REILLY

Suffix

DPM

Business Name

CULLAN ROBERT REILLY DPM

Original Issue Date

07/08/2011

Effective Date

12/19/2012

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015