C LARRY MITCHELL MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

C LARRY

MITCHELL

MD

C LARRY MITCHELL MD

01/01/1997

09/04/2020

07/31/2023

O FALLON

IL

62269

SAINT CLAIR

II III IV V

N

11/30/2023