DALE K MUELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

DALE

Middle

Last Name

MUELLER

Suffix

Business Name

DALE K MUELLER MD

Original Issue Date

08/19/1993

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021