MICHAEL ANTHONY MIKUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANTHONY

Last Name

MIKUS

Suffix

Business Name

MICHAEL ANTHONY MIKUS MD

Original Issue Date

10/24/2002

Effective Date

10/24/2002

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008