MARY ANTONIA MIOUX DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036084547

License Status

ACTIVE

Business

First Name

MARY ANTONIA

Last Name

MIOUX

Suffix

Business Name

MARY ANTONIA MIOUX DO

Original Issue Date

06/12/1992

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

06/27/2023