PHILIP W MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

PHILIP W

Last Name

MITCHELL

Suffix

Business Name

PHILIP W MITCHELL MD

Original Issue Date

09/20/1985

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023