MICHELLE JOLIE CHASTAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132271

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

JOLIE

Last Name

CHASTAIN

Business Name

MICHELLE JOLIE CHASTAIN MD

Original Issue Date

04/05/2013

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021