MICHAEL S MITTELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

CANCELLED

Business

First Name

MICHAEL S

Last Name

MITTELL

Suffix

Business Name

MICHAEL S MITTELL MD

Original Issue Date

01/04/1991

Effective Date

01/04/1991

Expiration Date

07/31/2002

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006