KRISTOFER J MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120394

License Status

NOT RENEWED

Business

First Name

KRISTOFER

Middle

Last Name

MITCHELL

Suffix

Business Name

KRISTOFER J MITCHELL MD

Original Issue Date

04/02/2008

Effective Date

05/02/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014