SCOTT ANDREW MITTENTHAL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

SCOTT

Middle

ANDREW

Last Name

MITTENTHAL

Business Name

SCOTT ANDREW MITTENTHAL

Original Issue Date

06/15/2011

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023