MICHELLE MARIE CANCEL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070637

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

CANCEL

Business Name

MICHELLE MARIE CANCEL MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/19/2020