TODD RYAN MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

TODD

Middle

RYAN

Last Name

MITCHELL

Business Name

TODD RYAN MITCHELL MD

Original Issue Date

09/11/2012

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2023