CALEB JORDAN MITCHELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

Title

First Name

CALEB

Middle

JORDAN

Last Name

MITCHELL

Business Name

CALEB JORDAN MITCHELL DO

Original Issue Date

06/25/2018

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

CARMI

State

Zip

62821

Specialty/Qualifier

REPACKAGER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023