MARISSA MULLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

ACTIVE

Business

First Name

MARISSA

Last Name

MULLEN

Business Name

MARISSA MULLEN

Original Issue Date

09/13/2023

Effective Date

01/25/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60637

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2026