DEVONNE ANNETTE MULLIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

DEVONNE

Middle

ANNETTE

Last Name

MULLIS

Suffix

Business Name

DEVONNE ANNETTE MULLIS MD

Original Issue Date

06/12/2006

Effective Date

06/12/2006

Expiration Date

07/31/2008

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008