MICHAEL DAVID NOLTE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066977

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

NOLTE

Business Name

MICHAEL DAVID NOLTE MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020