DONNA MARIE DI MICHELE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

NOT RENEWED

Business

First Name

DONNA MARIE

Last Name

DI MICHELE

Suffix

Business Name

DONNA MARIE DI MICHELE MD

Original Issue Date

04/23/1991

Effective Date

04/23/1991

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006