ALFRED TENNYSON MITCHELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099503

License Status

NOT RENEWED

Business

First Name

ALFRED

Middle

TENNYSON

Last Name

MITCHELL

Suffix

Business Name

ALFRED TENNYSON MITCHELL MD

Original Issue Date

01/14/1999

Effective Date

01/14/1999

Expiration Date

07/31/2002

City

NASSAU BAY

State

Zip

77058

Ever Disciplined

LastModifiedDate

09/29/2008