MICHAEL A J IHLENFELDT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074016

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

A J

Last Name

IHLENFELDT

Business Name

MICHAEL A J IHLENFELDT MD

Original Issue Date

10/23/1986

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/17/2014