MICHELLE T WYATT MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026532

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

WYATT

Suffix

Business Name

MICHELLE T WYATT MD

Original Issue Date

05/09/1991

Effective Date

05/09/1991

Expiration Date

06/23/1994

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006