MICHELLE LOUISE GAUTHIER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034399

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

LOUISE

Last Name

GAUTHIER

Suffix

Business Name

MICHELLE LOUISE GAUTHIER DO

Original Issue Date

05/16/1996

Effective Date

05/16/1996

Expiration Date

06/30/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006