THOMAS MATTHEW MULLENIX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

MATTHEW

Last Name

MULLENIX

Business Name

THOMAS MATTHEW MULLENIX MD

Original Issue Date

03/21/2022

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023