DAVID G MULDER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MULDER

Suffix

Business Name

DAVID G MULDER DO

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

07/31/1993

City

URBANA

State

Zip

61807

County

CHAMPAIGN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006