MICHAEL JAMES PACE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

INACTIVE

Business

First Name

MICHAEL JAMES

Last Name

PACE

Suffix

Business Name

MICHAEL JAMES PACE MD

Original Issue Date

06/16/1995

Effective Date

08/25/2020

Expiration Date

07/31/2023

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/25/2020