MYROSIA TOMIAK MITCHELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

MYROSIA

Last Name

TOMIAK MITCHELL

Business Name

MYROSIA TOMIAK MITCHELL

Original Issue Date

08/02/1988

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020