FRANK LEONARD MIKELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

FRANK LEONARD

Last Name

MIKELL

Suffix

Business Name

FRANK LEONARD MIKELL MD

Original Issue Date

04/06/1982

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021