BARRY ALLEN MIZOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

BARRY ALLEN

Last Name

MIZOCK

Suffix

Business Name

BARRY ALLEN MIZOCK MD

Original Issue Date

01/01/1997

Effective Date

12/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/23/2024