URI M MINTZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

CANCELLED

Business

First Name

URI M

Last Name

MINTZ

Suffix

Business Name

URI M MINTZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

SHAKER HEIGHTS

State

Zip

44122

County

OHIO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017