MICHAEL NICHOLAS BARBAREE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136132

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

NICHOLAS

Last Name

BARBAREE

Business Name

MICHAEL NICHOLAS BARBAREE DO

Original Issue Date

08/04/2014

Effective Date

08/04/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017