THOMAS F MIENTUS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

THOMAS

Middle

Last Name

MIENTUS

Suffix

Business Name

THOMAS F MIENTUS MD

Original Issue Date

09/09/2005

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

GREEN OAKS

State

Zip

60048

County

LAKE

Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

04/20/2023