BARRY A MANDELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

BARRY A

Last Name

MANDELL

Suffix

Business Name

BARRY A MANDELL MD

Original Issue Date

08/09/1993

Effective Date

08/09/1993

Expiration Date

07/31/1999

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006