THOMAS ALEXANDER 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

THOMAS

Middle

ALEXANDER

Last Name

MITCHELL

Suffix

Business Name

THOMAS ALEXANDER MITCHELL MD

Original Issue Date

09/27/2002

Effective Date

09/27/2002

Expiration Date

07/31/2005

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006