ELIZABETH ANN MITCHELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

ANN

Last Name

MITCHELL

Business Name

ELIZABETH ANN MITCHELL

Original Issue Date

10/06/2006

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011