MICHELLE LYNN VASQUEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

LYNN

Last Name

VASQUEZ

Suffix

Business Name

MICHELLE LYNN VASQUEZ MD

Original Issue Date

02/10/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

PERU

State

Zip

61354

County

LA SALLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023