SUSAN KAY MANTELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

SUSAN

Middle

KAY

Last Name

MANTELL

Suffix

Business Name

SUSAN KAY MANTELL MD

Original Issue Date

12/20/2022

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

GILMAN

State

Zip

60938

County

IROQUOIS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023