C LARRY MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056372

License Status

ACTIVE

Business

First Name

C LARRY

Last Name

MITCHELL

Suffix

Business Name

C LARRY MITCHELL MD

Original Issue Date

02/09/1978

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

Ever Disciplined

LastModifiedDate

07/16/2023