MICHELLE ANN BARDACK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109696

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

ANN

Last Name

BARDACK

Suffix

Business Name

MICHELLE ANN BARDACK MD

Original Issue Date

07/14/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008