FRANK CHARLES MICEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053671

License Status

NOT RENEWED

Business

First Name

FRANK

Middle

CHARLES

Last Name

MICEK

Suffix

Business Name

FRANK CHARLES MICEK MD

Original Issue Date

09/17/1976

Effective Date

05/30/2017

Expiration Date

09/30/2020

City

BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021