KATHLEEN MARY MULLANE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

KATHLEEN MARY

Last Name

MULLANE

Business Name

KATHLEEN MARY MULLANE

Original Issue Date

05/25/1993

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023