JESSEN JAMES MUKALEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

CANCELLED

Business

First Name

JESSEN

Middle

JAMES

Last Name

MUKALEL

Suffix

Business Name

JESSEN JAMES MUKALEL MD

Original Issue Date

03/18/2010

Effective Date

03/18/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011