MICHELLE C MONTPETIT Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036107

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

MONTPETIT

Business Name

MICHELLE C MONTPETIT

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

06/21/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006