MIA E LAYNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

MIA

Middle

Last Name

LAYNE

Business Name

MIA E LAYNE MD

Original Issue Date

05/25/2016

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60652

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023