DAVID ARTHUR MULLAN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

ARTHUR

Last Name

MULLAN

Suffix

DMD

Business Name

DAVID ARTHUR MULLAN DMD

Original Issue Date

08/10/2009

Effective Date

08/10/2009

Expiration Date

09/30/2012

City

ZEIGLER

State

Zip

62999

County

FRANKLIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012