MIA FLOR MARTIN MICHELENA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149453

License Status

ACTIVE

Business

Title

First Name

MIA FLOR

Middle

MARTIN

Last Name

MICHELENA

Business Name

MIA FLOR MARTIN MICHELENA DO

Original Issue Date

05/24/2019

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Ever Disciplined

LastModifiedDate

05/24/2023