MICHELLE P MULLIGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081019

License Status

ACTIVE

Business

First Name

MICHELLE P

Last Name

MULLIGAN

Suffix

Business Name

MICHELLE P MULLIGAN MD

Original Issue Date

07/17/1990

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2023