RYAN BERNARD MITACEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155959

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

BERNARD

Last Name

MITACEK

Business Name

RYAN BERNARD MITACEK MD

Original Issue Date

03/08/2021

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/12/2024