DONALD STANLEY MIEZIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039182

License Status

ACTIVE

Business

First Name

DONALD STANLEY

Last Name

MIEZIO

Suffix

Business Name

DONALD STANLEY MIEZIO MD

Original Issue Date

08/17/1964

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

06/02/2023