BRIAN THOMAS MICHALSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126596

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

MICHALSEN

Business Name

BRIAN THOMAS MICHALSEN DO

Original Issue Date

08/31/2010

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2023