License holder summary

JAMES BYRON KULLBOM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JAMES BYRON KULLBOM is MADISON CLINIC, 722 W MAIN, MADISON IN 47250. This licensed professional license is not current. The license was granted 03/07/1996 and expired on 06/30/1999.

Indiana

Professional Licensing Agency

JAMES BYRON KULLBOM
Controlled Substance Registration - Physician
License number
01044793B
Date granted
03/07/1996
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
MADISON CLINIC, 722 W MAIN, MADISON IN 47250
indianalicensing.org
ID 5886659
LAST UPDATED 2024-03-24 09:16:08 UTC

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