ERIK P MIKAITIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

Title

First Name

ERIK

Middle

Last Name

MIKAITIS

Business Name

ERIK P MIKAITIS MD

Original Issue Date

02/14/2012

Effective Date

02/14/2012

Expiration Date

07/31/2014

City

BROOKFIELD

State

Zip

60513

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020