MICHAEL C KNISLEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046366

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

KNISLEY

Business Name

MICHAEL C KNISLEY

Original Issue Date

05/21/2003

Effective Date

05/21/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006