WOLFGANG J MICHELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

WOLFGANG J

Last Name

MICHELSEN

Suffix

Business Name

WOLFGANG J MICHELSEN MD

Original Issue Date

12/21/1989

Effective Date

12/21/1989

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006