SUSAN KAY MANTELL 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

SUSAN

Middle

KAY

Last Name

MANTELL

Suffix

Business Name

SUSAN KAY MANTELL MD

Original Issue Date

02/22/2008

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

PHILO

State

Zip

61864

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023