MICHAEL J KIKTA 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

MICHAEL J

Last Name

KIKTA

Suffix

Business Name

MICHAEL J KIKTA MD

Original Issue Date

05/02/1994

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023