TIMOTHY PHILIP MICHALS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052911

License Status

EXPIRED

Business

Title

First Name

TIMOTHY

Middle

PHILIP

Last Name

MICHALS

Business Name

TIMOTHY PHILIP MICHALS MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine/Pediatrics

Ever Disciplined

LastModifiedDate

07/19/2011