THOMAS M MIXA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018089

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

MIXA

Business Name

THOMAS M MIXA

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006