GRACE BUSH MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036014611

License Status

NOT RENEWED

Business

First Name

GRACE BUSH

Last Name

MITCHELL

Suffix

Business Name

GRACE BUSH MITCHELL MD

Original Issue Date

01/01/1997

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006