MICHAEL THOMAS CHURCHWELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128833

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

THOMAS

Last Name

CHURCHWELL

Business Name

MICHAEL THOMAS CHURCHWELL MD

Original Issue Date

08/22/2011

Effective Date

07/15/2014

Expiration Date

07/31/2017

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017