MITCHELL NEEDLEMAN Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****72

License Status

ACTIVE

Business

First Name

MITCHELL

Last Name

NEEDLEMAN

Business Name

MITCHELL NEEDLEMAN

Original Issue Date

06/24/1986

Effective Date

12/13/2024

Expiration Date

01/31/2027

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025