DONALD E MITZELFELT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DONALD E

Last Name

MITZELFELT

Suffix

Business Name

DONALD E MITZELFELT MD

Original Issue Date

10/29/1992

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

TREMONT

State

Zip

61568

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021