DIANA LILY MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

First Name

DIANA

Middle

LILY

Last Name

MITCHELL

Suffix

Business Name

DIANA LILY MITCHELL MD

Original Issue Date

05/10/2007

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

LA GRANGE HIGHLANDS

State

Zip

60525

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023