MARK J MICHAUD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081150

License Status

NOT RENEWED

Business

First Name

MARK J

Last Name

MICHAUD

Suffix

Business Name

MARK J MICHAUD MD

Original Issue Date

07/26/1990

Effective Date

07/26/1990

Expiration Date

07/31/2005

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006