JOHN D MIKUZIS DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021098

License Status

CANCELLED

Business

First Name

JOHN D

Last Name

MIKUZIS

Suffix

Business Name

JOHN D MIKUZIS DO

Original Issue Date

06/02/1987

Effective Date

06/02/1987

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006