MICHAEL T DO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083095

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

Last Name

Business Name

MICHAEL T DO MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/30/2024