MARK A MITCHELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

MARK

Middle

Last Name

MITCHELL

Business Name

MARK A MITCHELL

Original Issue Date

12/06/2002

Effective Date

06/16/2014

Expiration Date

07/31/2017

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020