MICHELLE T WYATT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

WYATT

Suffix

Business Name

MICHELLE T WYATT MD

Original Issue Date

11/19/1993

Effective Date

11/19/1993

Expiration Date

07/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006