ERIC T MIZUNO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

Title

First Name

ERIC T

Last Name

MIZUNO

Business Name

ERIC T MIZUNO MD

Original Issue Date

02/23/2015

Effective Date

02/23/2015

Expiration Date

07/31/2017

City

WAUKEGAN

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020