MICHAEL C MICHELOTTI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013992

License Status

EXPIRED

Business

First Name

MICHAEL C

Last Name

MICHELOTTI

Suffix

Business Name

MICHAEL C MICHELOTTI MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

06/25/1984

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006