MITCHELL S KING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

MITCHELL S

Last Name

KING

Suffix

Business Name

MITCHELL S KING MD

Original Issue Date

12/05/2019

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023