BROCK BEE MULLENBACH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074307

License Status

CANCELLED

Business

Title

First Name

BROCK

Middle

BEE

Last Name

MULLENBACH

Business Name

BROCK BEE MULLENBACH DO

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

02/28/2022