ROBERT VINCENT MICHAEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046258

License Status

CANCELLED

Business

First Name

ROBERT

Middle

VINCENT

Last Name

MICHAEL

Suffix

Business Name

ROBERT VINCENT MICHAEL MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

07/23/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/16/2009