GORDON G MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

NOT RENEWED

Business

First Name

GORDON G

Last Name

MITCHELL

Suffix

Business Name

GORDON G MITCHELL MD

Original Issue Date

08/05/1982

Effective Date

08/05/1982

Expiration Date

07/31/1987

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006