DAVID J MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MITCHELL

Suffix

Business Name

DAVID J MITCHELL MD

Original Issue Date

04/26/2007

Effective Date

04/26/2007

Expiration Date

07/31/2008

City

KEWANEE

State

Zip

61443

County

HENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011