MARY J MIKHAILOV Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

MARY J

Last Name

MIKHAILOV

Business Name

MARY J MIKHAILOV

Original Issue Date

07/17/1990

Effective Date

07/17/1990

Expiration Date

07/31/1999

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020