BRIAN D MULLIGAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

MULLIGAN

Suffix

Business Name

BRIAN D MULLIGAN MD

Original Issue Date

01/01/1997

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020