KENNEDY MCMULLEN Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

First Name

KENNEDY

Last Name

MCMULLEN

Business Name

KENNEDY MCMULLEN

Original Issue Date

08/05/2002

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023