KATHRYN JEAN MENCEL Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

KATHRYN

Middle

JEAN

Last Name

MENCEL

Business Name

KATHRYN JEAN MENCEL

Original Issue Date

01/25/2001

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

ELMWOOD PARK

State

Zip

60707

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023