ROBERT L MITTENDORF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

ROBERT L

Last Name

MITTENDORF

Suffix

Business Name

ROBERT L MITTENDORF MD

Original Issue Date

08/17/1992

Effective Date

04/13/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017