ZACHARY ARTHUR MIKSANEK 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

ZACHARY

Middle

ARTHUR

Last Name

MIKSANEK

Business Name

ZACHARY ARTHUR MIKSANEK MD

Original Issue Date

08/18/2016

Effective Date

07/16/2023

Expiration Date

07/31/2026

City

BENTON

State

Zip

62812

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/16/2023