MICHELLE PENG TSAO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061751

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

PENG

Last Name

TSAO

Business Name

MICHELLE PENG TSAO MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

04/24/2017