THOMAS J MULVEY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

THOMAS

Middle

JAMES

Last Name

MULVEY

Business Name

THOMAS J MULVEY

Original Issue Date

03/18/1997

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023