TODD RYAN MITCHELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056536

License Status

EXPIRED

Business

Title

First Name

TODD

Middle

RYAN

Last Name

MITCHELL

Business Name

TODD RYAN MITCHELL MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012