ANGELIQUE CAROLE MIZERA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023662

License Status

EXPIRED

Business

First Name

ANGELIQUE CAROLE

Last Name

MIZERA

Suffix

Business Name

ANGELIQUE CAROLE MIZERA DO

Original Issue Date

05/09/1989

Effective Date

05/09/1989

Expiration Date

06/22/1992

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006