DAVID RALPH MICHAEL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

RALPH

Last Name

MICHAEL

Business Name

DAVID RALPH MICHAEL DO

Original Issue Date

09/19/2017

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60602

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023