JOSEPH P MICHO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

JOSEPH P

Last Name

MICHO

Suffix

Business Name

JOSEPH P MICHO MD

Original Issue Date

07/23/1990

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021