MICHAEL CHRISTOPHER PULLA Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****22

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHRISTOPHER

Last Name

PULLA

Business Name

MICHAEL CHRISTOPHER PULLA

Original Issue Date

06/23/2015

Effective Date

12/20/2018

Expiration Date

01/31/2021

City

BOLINGBROOK

State

Zip

60490

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2021