BARRY L MULLEN MD - Medical Doctor License in Wisconsin | # 036067202

BARRY L MULLEN MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067202

License Status

INACTIVE

Business

N

First Name

BARRY

Middle

L

Last Name

MULLEN

Suffix

MD

Business Name

BARRY L MULLEN MD

Original Issue Date

08/02/1983

Effective Date

04/12/2011

Expiration Date

07/31/2014

State

WI

Ever Disciplined

N

LastModifiedDate

06/26/2014