MARY ELLEN MITCHANIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022191

License Status

EXPIRED

Business

First Name

MARY ELLEN

Last Name

MITCHANIS

Suffix

Business Name

MARY ELLEN MITCHANIS MD

Original Issue Date

05/11/1988

Effective Date

05/11/1988

Expiration Date

06/27/1991

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006