THOMAS R MIZEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

ACTIVE

Business

First Name

THOMAS R

Last Name

MIZEN

Suffix

Business Name

THOMAS R MIZEN MD

Original Issue Date

08/31/1981

Effective Date

04/16/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2023