DAVID J MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

DAVID J

Last Name

MITCHELL

Suffix

Business Name

DAVID J MITCHELL MD

Original Issue Date

07/17/1987

Effective Date

07/17/1987

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006