ANDREW MIESZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

ANDREW

Last Name

MIESZ

Suffix

Business Name

ANDREW MIESZ MD

Original Issue Date

10/17/1984

Effective Date

10/17/1984

Expiration Date

07/31/1987

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/26/2006