SUSAN TERESE MITCHELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046666

License Status

EXPIRED

Business

First Name

SUSAN

Middle

TERESE

Last Name

MITCHELL

Suffix

Business Name

SUSAN TERESE MITCHELL MD

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2007

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

07/03/2007