MICHAEL M MINIEKA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

MICHAEL M

Last Name

MINIEKA

Suffix

Business Name

MICHAEL M MINIEKA MD

Original Issue Date

09/02/1986

Effective Date

05/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/29/2023