MICHAEL MASSENGILL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076187

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Last Name

MASSENGILL

Business Name

MICHAEL MASSENGILL MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/30/2024