MICHELLE MARIE HEPHNER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049326

License Status

EXPIRED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

HEPHNER

Suffix

Business Name

MICHELLE MARIE HEPHNER DO

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008