MITCHELL NATHAN KENTOR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

Title

First Name

MITCHELL

Middle

NATHAN

Last Name

KENTOR

Business Name

MITCHELL NATHAN KENTOR MD

Original Issue Date

12/31/2019

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023