MICHELLE A KALLENBORN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

KALLENBORN

Suffix

Business Name

MICHELLE A KALLENBORN DO

Original Issue Date

07/21/1997

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023