MICHELLE DIANNE WILLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130518

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

DIANNE

Last Name

WILLIS

Business Name

MICHELLE DIANNE WILLIS DO

Original Issue Date

06/07/2012

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

02/18/2025