MICHAEL ALAN MASTELLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141184

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ALAN

Last Name

MASTELLER

Business Name

MICHAEL ALAN MASTELLER MD

Original Issue Date

07/08/2016

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61114

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023