MITCHEL LEE FROMM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163205

License Status

NOT RENEWED

Business

Title

First Name

MITCHEL

Middle

LEE

Last Name

FROMM

Business Name

MITCHEL LEE FROMM MD

Original Issue Date

12/19/2022

Effective Date

12/19/2022

Expiration Date

07/31/2023

City

HUDSON

State

Zip

44236

Ever Disciplined

LastModifiedDate

11/30/2023