KENNETH A MICHELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163231

License Status

ACTIVE

Business

Title

First Name

KENNETH

Middle

Last Name

MICHELSON

Business Name

KENNETH A MICHELSON MD

Original Issue Date

12/21/2022

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

06/15/2023