MICHAEL ALLEN TERRY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111807

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ALLEN

Last Name

TERRY

Business Name

MICHAEL ALLEN TERRY

Original Issue Date

07/08/2004

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/03/2023