DAVID R MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

DAVID R

Last Name

MITCHELL

Suffix

Business Name

DAVID R MITCHELL MD

Original Issue Date

05/30/1985

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023