MARY J MIKHAILOV Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

First Name

MARY J

Last Name

MIKHAILOV

Business Name

MARY J MIKHAILOV

Original Issue Date

08/14/1996

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023