BRYAN J MULLOOLY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126093

License Status

INACTIVE

Business

Title

First Name

BRYAN

Middle

Last Name

MULLOOLY

Business Name

BRYAN J MULLOOLY MD

Original Issue Date

06/18/2010

Effective Date

06/07/2011

Expiration Date

07/31/2014

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014