MICHELLE M MINER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106594

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

MINER

Suffix

Business Name

MICHELLE M MINER MD

Original Issue Date

03/25/2002

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/14/2023