MARILYN S MISTRY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

ACTIVE

Business

First Name

MARILYN

Middle

Last Name

MISTRY

Suffix

Business Name

MARILYN S MISTRY MD

Original Issue Date

09/11/2000

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023