ANTHONY JAMES MIKSANEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

ANTHONY JAMES

Last Name

MIKSANEK

Suffix

Business Name

ANTHONY JAMES MIKSANEK MD

Original Issue Date

05/12/1982

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

BENTON

State

Zip

62812

County

FRANKLIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023