MICHAEL J PHEND MD - Medical Doctor License in Indiana | # 036138695

MICHAEL J PHEND MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138695

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MICHAEL

Middle

J

Last Name

PHEND

Business Name

MICHAEL J PHEND MD

Original Issue Date

07/15/2015

Effective Date

07/15/2015

Expiration Date

07/31/2017

State

IN

Ever Disciplined

N

LastModifiedDate

11/01/2017