MICHAEL CHRISTOPHER LARGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123455

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

CHRISTOPHER

Last Name

LARGE

Suffix

Business Name

MICHAEL CHRISTOPHER LARGE MD

Original Issue Date

05/18/2009

Effective Date

05/20/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014