ERIK P MIKAITIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057148

License Status

CANCELLED

Business

Title

First Name

ERIK

Middle

Last Name

MIKAITIS

Business Name

ERIK P MIKAITIS MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/25/2009