SCOTT ANDREW MITTENTHAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128093

License Status

ACTIVE

Business

First Name

SCOTT

Middle

ANDREW

Last Name

MITTENTHAL

Business Name

SCOTT ANDREW MITTENTHAL

Original Issue Date

06/15/2011

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/22/2023