MITCHELL C HAYWOOD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

MITCHELL C

Last Name

HAYWOOD

Business Name

MITCHELL C HAYWOOD

Original Issue Date

11/30/1992

Effective Date

11/04/2015

Expiration Date

07/31/2017

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017