ROBERT J MICHAELSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

ACTIVE

Business

First Name

ROBERT J

Last Name

MICHAELSON

Suffix

Business Name

ROBERT J MICHAELSON MD

Original Issue Date

01/24/1983

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023