MICHEL MEDINA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144620

License Status

INACTIVE

Business

Title

First Name

MICHEL

Last Name

MEDINA

Business Name

MICHEL MEDINA MD

Original Issue Date

11/07/2017

Effective Date

11/07/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

04/05/2020