MICHAEL ALLAN EVANS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069754

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

ALLAN

Last Name

EVANS

Business Name

MICHAEL ALLAN EVANS MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

02/01/2017