MICHELLE MARIE PRINCE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

MARIE

Last Name

PRINCE

Business Name

MICHELLE MARIE PRINCE MD

Original Issue Date

11/05/2012

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023