ANTHONY JAMES MIKSANEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013315

License Status

EXPIRED

Business

First Name

ANTHONY JAMES

Last Name

MIKSANEK

Suffix

Business Name

ANTHONY JAMES MIKSANEK MD

Original Issue Date

07/14/1981

Effective Date

07/14/1981

Expiration Date

07/01/1983

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006