RONALD E MULLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

RONALD E

Last Name

MULLEN

Suffix

Business Name

RONALD E MULLEN MD

Original Issue Date

06/22/1988

Effective Date

06/22/1988

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006