MICHAEL T PRICE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032966

License Status

EXPIRED

Business

First Name

MICHAEL

Middle

Last Name

PRICE

Business Name

MICHAEL T PRICE

Original Issue Date

06/03/1995

Effective Date

06/03/1995

Expiration Date

06/04/1998

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006