PATRICK BRIAN MULLIGAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

PATRICK

Middle

BRIAN

Last Name

MULLIGAN

Business Name

PATRICK BRIAN MULLIGAN MD

Original Issue Date

06/28/2018

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023