INDREK H MIIDLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

INDREK H

Last Name

MIIDLA

Business Name

INDREK H MIIDLA

Original Issue Date

09/16/1992

Effective Date

09/16/1992

Expiration Date

07/31/1996

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006