BARRY L MULLEN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067202

License Status

INACTIVE

Business

First Name

BARRY

Middle

Last Name

MULLEN

Suffix

Business Name

BARRY L MULLEN MD

Original Issue Date

08/02/1983

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

LAKE GENEVA

State

Zip

53147

Ever Disciplined

LastModifiedDate

06/26/2014