MICHAEL L CHRISTIAN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

MICHAEL L

Last Name

CHRISTIAN

Suffix

Business Name

MICHAEL L CHRISTIAN DO

Original Issue Date

09/06/1989

Effective Date

09/06/1989

Expiration Date

07/31/1990

City

ROCKFORD

State

Zip

61107

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006