BARRY L MULLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

Last Name

MULLEN

Suffix

Business Name

BARRY L MULLEN MD

Original Issue Date

03/22/2001

Effective Date

07/18/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/08/2014