MICHELLE KATHRYN FLOYD REBOLLO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

KATHRYN

Last Name

FLOYD REBOLLO

Suffix

Business Name

MICHELLE KATHRYN FLOYD REBOLLO MD

Original Issue Date

03/24/2022

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

PROSPECT HEIGHTS

State

Zip

60070

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023