ERIC JAN MORRIS MINDE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

ERIC JAN

Middle

MORRIS

Last Name

MINDE

Suffix

Business Name

ERIC JAN MORRIS MINDE MD

Original Issue Date

03/01/2001

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60613

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023