MICHELLE LYNN VASQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124821

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

LYNN

Last Name

VASQUEZ

Suffix

Business Name

MICHELLE LYNN VASQUEZ MD

Original Issue Date

01/11/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

06/13/2023