GAIL CLIFFORD MULLEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

GAIL CLIFFORD

Last Name

MULLEN

Business Name

GAIL CLIFFORD MULLEN

Original Issue Date

10/11/1995

Effective Date

10/11/1995

Expiration Date

07/31/2002

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006