BARRY ALLEN MIZOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053327

License Status

ACTIVE

Business

First Name

BARRY ALLEN

Last Name

MIZOCK

Suffix

Business Name

BARRY ALLEN MIZOCK MD

Original Issue Date

08/19/1976

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2023