DONALD A MITZELFELT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

DONALD

Middle

Last Name

MITZELFELT

Suffix

Business Name

DONALD A MITZELFELT MD

Original Issue Date

06/29/1994

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023