AUDREY L GONCAER MITCHELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

AUDREY L

Last Name

GONCAER MITCHELL

Business Name

AUDREY L GONCAER MITCHELL

Original Issue Date

11/10/1987

Effective Date

11/10/1987

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006