JOSHUA JAMES MIKSANEK MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055466

License Status

EXPIRED

Business

Title

First Name

JOSHUA

Middle

JAMES

Last Name

MIKSANEK

Business Name

JOSHUA JAMES MIKSANEK MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011