JACK JOSEPH MITCHELL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

JACK JOSEPH

Last Name

MITCHELL

Suffix

DDS

Business Name

JACK JOSEPH MITCHELL DDS

Original Issue Date

01/01/1998

Effective Date

09/27/2022

Expiration Date

09/30/2024

City

LOCKPORT

State

Zip

60441

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025