CURTIS R MITCHEM Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

CURTIS R

Last Name

MITCHEM

Business Name

CURTIS R MITCHEM

Original Issue Date

09/29/1989

Effective Date

06/04/2024

Expiration Date

09/30/2027

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2024