ANDREW DARYL MULLINS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

DARYL

Last Name

MULLINS

Business Name

ANDREW DARYL MULLINS DO

Original Issue Date

07/24/2023

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61604

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023