CHARLES D MULLENIX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

First Name

CHARLES D

Last Name

MULLENIX

Suffix

Business Name

CHARLES D MULLENIX MD

Original Issue Date

05/23/1983

Effective Date

07/24/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60025

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023