IDOL R MITCHELL DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****06

License Status

ACTIVE

Business

First Name

IDOL R

Last Name

MITCHELL

Suffix

DPM

Business Name

IDOL R MITCHELL DPM

Original Issue Date

07/20/1993

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025