PHILIP W MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

PHILIP W

Last Name

MITCHELL

Suffix

Business Name

PHILIP W MITCHELL MD

Original Issue Date

09/17/2010

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

NORMAL

State

Zip

61761

County

MCLEAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021