MICHAEL R CHALIFOUX MD - Medical Doctor License in Illinois | # 130001025

MICHAEL R CHALIFOUX MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001025

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHAEL

Middle

R

Last Name

CHALIFOUX

Business Name

MICHAEL R CHALIFOUX MD

Original Issue Date

01/01/2015

Effective Date

01/01/2015

Expiration Date

06/30/2015

State

IL

Specialty/Qualifier

Anesthesiology

Ever Disciplined

N

LastModifiedDate

01/07/2016