MICHAEL T PINK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

PINK

Business Name

MICHAEL T PINK

Original Issue Date

06/17/2013

Effective Date

06/17/2013

Expiration Date

07/31/2014

City

PLAINFIELD

State

Zip

60544

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020