ANGELIQUE CAROLE MIZERA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

ANGELIQUE CAROLE

Last Name

MIZERA

Suffix

Business Name

ANGELIQUE CAROLE MIZERA DO

Original Issue Date

05/18/1993

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023