CHARLES W MITCHELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

CHARLES W

Last Name

MITCHELL

Business Name

CHARLES W MITCHELL

Original Issue Date

07/31/1995

Effective Date

07/31/1995

Expiration Date

07/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006