TYLER JAMES MIKSANEK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080196

License Status

CANCELLED

Business

Title

First Name

TYLER

Middle

JAMES

Last Name

MIKSANEK

Business Name

TYLER JAMES MIKSANEK MD

Original Issue Date

06/24/2022

Effective Date

06/24/2022

Expiration Date

06/23/2025

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/30/2025