MARK A MUELLER Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041558

License Status

CANCELLED

Business

First Name

MARK

Middle

Last Name

MUELLER

Business Name

MARK A MUELLER

Original Issue Date

06/12/2000

Effective Date

06/12/2000

Expiration Date

06/11/2004

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006