JONATHAN EDWARD MULLIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Middle

EDWARD

Last Name

MULLIN

Business Name

JONATHAN EDWARD MULLIN MD

Original Issue Date

07/26/2017

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023