MIKALA RAE BRINKMAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

First Name

MIKALA

Middle

RAE

Last Name

BRINKMAN

Suffix

Business Name

MIKALA RAE BRINKMAN MD

Original Issue Date

05/25/2007

Effective Date

04/30/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/30/2023