MICHAEL ANTHONY HART DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

ANTHONY

Last Name

HART

Business Name

MICHAEL ANTHONY HART DO

Original Issue Date

04/17/2012

Effective Date

07/10/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/10/2023