DONALD STANLEY MIEZIO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

DONALD STANLEY

Last Name

MIEZIO

Suffix

Business Name

DONALD STANLEY MIEZIO MD

Original Issue Date

01/04/1984

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023