MICHELLE DIANNE WILLIS DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

DIANNE

Last Name

WILLIS

Business Name

MICHELLE DIANNE WILLIS DO

Original Issue Date

06/07/2012

Effective Date

08/01/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/01/2023