DAVID M MITCHELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038893

License Status

CANCELLED

Business

First Name

DAVID

Middle

Last Name

MITCHELL

Suffix

Business Name

DAVID M MITCHELL MD

Original Issue Date

12/18/1998

Effective Date

12/18/1998

Expiration Date

02/01/2000

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006