AMANDA DEE MULCH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117650

License Status

ACTIVE

Business

First Name

AMANDA

Middle

DEE

Last Name

MULCH

Suffix

Business Name

AMANDA DEE MULCH MD

Original Issue Date

02/16/2007

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

04/07/2023