MITCHELL A SUSSMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

First Name

MITCHELL A

Last Name

SUSSMAN

Suffix

Business Name

MITCHELL A SUSSMAN MD

Original Issue Date

05/24/1995

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023