JERRY E MITCHELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

JERRY

Middle

Last Name

MITCHELL

Suffix

Business Name

JERRY E MITCHELL MD

Original Issue Date

01/01/1997

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023