MICHAEL NICHOLAS BARBAREE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061728

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

NICHOLAS

Last Name

BARBAREE

Business Name

MICHAEL NICHOLAS BARBAREE DO

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014