MARYANN MIKUS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090703

License Status

INACTIVE

Business

First Name

MARYANN

Last Name

MIKUS

Business Name

MARYANN MIKUS

Original Issue Date

05/19/1995

Effective Date

05/19/1995

Expiration Date

07/31/1996

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006