KELLY ANN MULARKEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****26

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

MULARKEY

Business Name

KELLY ANN MULARKEY

Original Issue Date

11/22/2017

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022