MIKAYLA JO FREESE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074801

License Status

EXPIRED

Business

Title

First Name

MIKAYLA

Middle

Last Name

FREESE

Business Name

MIKAYLA JO FREESE MD

Original Issue Date

06/22/2022

Effective Date

06/22/2022

Expiration Date

06/21/2024

City

MAYWOOD

State

Zip

60153

County

ADAMS

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/30/2024