BORIS MIOKOVIC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

BORIS

Last Name

MIOKOVIC

Business Name

BORIS MIOKOVIC MD

Original Issue Date

05/17/2024

Effective Date

05/17/2024

Expiration Date

07/31/2026

City

GALESBURG

State

Zip

61401

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026