MICHELLE R BIRDSELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044438

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

BIRDSELL

Suffix

Business Name

MICHELLE R BIRDSELL MD

Original Issue Date

07/01/2002

Effective Date

07/01/2002

Expiration Date

08/13/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006