MITCHEL LEE FROMM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

MITCHEL

Middle

LEE

Last Name

FROMM

Business Name

MITCHEL LEE FROMM MD

Original Issue Date

01/23/2023

Effective Date

01/23/2023

Expiration Date

07/31/2023

City

HUDSON

State

Zip

44236

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023