DAVID RALPH MICHAEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144355

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

RALPH

Last Name

MICHAEL

Business Name

DAVID RALPH MICHAEL DO

Original Issue Date

09/19/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023