MICHAEL C PERSSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

PERSSON

Suffix

Business Name

MICHAEL C PERSSON MD

Original Issue Date

01/26/2009

Effective Date

04/07/2011

Expiration Date

07/31/2014

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014