C MICHAEL MULLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064780

License Status

CANCELLED

Business

Title

First Name

Middle

MICHAEL

Last Name

MULLEN

Business Name

C MICHAEL MULLEN MD

Original Issue Date

06/25/2014

Effective Date

06/25/2014

Expiration Date

06/24/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/03/2014