THOMAS MATTHEW MULLENIX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072498

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

MATTHEW

Last Name

MULLENIX

Business Name

THOMAS MATTHEW MULLENIX MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

05/25/2018