MARY ELLEN MITCHANIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082045

License Status

NOT RENEWED

Business

First Name

MARY ELLEN

Last Name

MITCHANIS

Suffix

Business Name

MARY ELLEN MITCHANIS MD

Original Issue Date

01/29/1991

Effective Date

01/29/1991

Expiration Date

07/31/1993

City

SHOREWOOD

State

Zip

53211

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006