MICHAEL THOMAS AMBROSE MD - Medical Doctor License in Illinois | # 036128279

MICHAEL THOMAS AMBROSE MD

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128279

License Status

ACTIVE

Business

N

First Name

MICHAEL

Middle

THOMAS

Last Name

AMBROSE

Suffix

MD

Business Name

MICHAEL THOMAS AMBROSE MD

Original Issue Date

06/29/2011

Effective Date

04/11/2023

Expiration Date

07/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

04/11/2023