MARK A MITCHELL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

MARK

Middle

Last Name

MITCHELL

Business Name

MARK A MITCHELL

Original Issue Date

06/29/2007

Effective Date

08/17/2023

Expiration Date

07/31/2026

City

OLYMPIA FIELDS

State

Zip

60461

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/17/2023