BRIAN MIKULAN MAXFIELD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

MIKULAN

Last Name

MAXFIELD

Business Name

BRIAN MIKULAN MAXFIELD DO

Original Issue Date

07/10/2018

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023