MICHAEL R MULLANE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

Last Name

MULLANE

Suffix

Business Name

MICHAEL R MULLANE MD

Original Issue Date

10/23/1984

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023