CULLAN ROBERT REILLY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****38

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

07/08/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013