BRYAN K MIKSANEK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088817

License Status

NOT RENEWED

Business

First Name

BRYAN K

Last Name

MIKSANEK

Suffix

Business Name

BRYAN K MIKSANEK MD

Original Issue Date

07/02/1994

Effective Date

07/17/2017

Expiration Date

09/30/2020

City

SYLVANIA

State

Zip

43560

County

OHIO

Ever Disciplined

LastModifiedDate

01/14/2021