IDOL R MITCHELL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004683

License Status

ACTIVE

Business

First Name

IDOL R

Last Name

MITCHELL

Suffix

DPM

Business Name

IDOL R MITCHELL DPM

Original Issue Date

06/29/1993

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

02/26/2025