MICHAEL ALLAN STREETER DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050870

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

ALLAN

Last Name

STREETER

Suffix

Business Name

MICHAEL ALLAN STREETER DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/09/2007