TIMOTHY JOHN MIKESELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102613

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

JOHN

Last Name

MIKESELL

Suffix

Business Name

TIMOTHY JOHN MIKESELL DO

Original Issue Date

06/06/2000

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2023