MICHELLE LEA MACY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146506

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

LEA

Last Name

MACY

Business Name

MICHELLE LEA MACY MD

Original Issue Date

06/20/2018

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2023