License holder summary

Michael James Smullen is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Michael James Smullen is 1239 W Mason St, Green Bay, WI 54304. This doctor license is not current. The license was granted 11/07/1969 and expired on 04/30/2005.

Department of Safety and Professional Services

Board of Medical Practice

Michael James Smullen
Medical - Physician And Surgeon
License number
18884
Date granted
11/07/1969
Date expires
04/30/2005
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1239 W Mason St, Green Bay, WI 54304
doctorsminnesota.org
ID 22308469
LAST UPDATED 2024-04-11 06:47:40 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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