DONALD E MITZELFELT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

DONALD E

Last Name

MITZELFELT

Suffix

Business Name

DONALD E MITZELFELT MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

PEKIN

State

Zip

61554

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020