MICHELLE L BANDY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047024

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

Last Name

BANDY

Business Name

MICHELLE L BANDY

Original Issue Date

07/16/2003

Effective Date

07/16/2003

Expiration Date

07/15/2006

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2006