MECHELLE EVETTE MORAGNE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108329

License Status

NOT RENEWED

Business

First Name

MECHELLE

Middle

EVETTE

Last Name

MORAGNE

Business Name

MECHELLE EVETTE MORAGNE

Original Issue Date

12/20/2002

Effective Date

12/20/2002

Expiration Date

07/31/2005

City

BROADVIEW

State

Zip

60155

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006