BRIAN ADAM MITZMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

ADAM

Last Name

MITZMAN

Business Name

BRIAN ADAM MITZMAN MD

Original Issue Date

01/20/2015

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021