REJEANA KENKADE MULLINS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

First Name

REJEANA

Middle

KENKADE

Last Name

MULLINS

Suffix

Business Name

REJEANA KENKADE MULLINS MD

Original Issue Date

07/05/2001

Effective Date

05/10/2011

Expiration Date

07/31/2014

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014