AMANDA ELISE MULCRONE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

Title

First Name

AMANDA

Middle

ELISE

Last Name

MULCRONE

Business Name

AMANDA ELISE MULCRONE MD

Original Issue Date

07/07/2022

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023