MICHAEL MAGNUSON DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077431

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Last Name

MAGNUSON

Business Name

MICHAEL MAGNUSON DO

Original Issue Date

06/24/2021

Effective Date

06/24/2021

Expiration Date

06/23/2024

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/05/2021