MICHAEL E MULLIGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

MICHAEL E

Last Name

MULLIGAN

Suffix

Business Name

MICHAEL E MULLIGAN MD

Original Issue Date

05/22/1989

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023