SUSAN TERESE MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

SUSAN

Middle

TERESE

Last Name

MITCHELL

Suffix

Business Name

SUSAN TERESE MITCHELL MD

Original Issue Date

03/28/2007

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

WAYNE

State

Zip

60184

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023