MICHELLE S MEZIERE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

MEZIERE

Suffix

Business Name

MICHELLE S MEZIERE MD

Original Issue Date

04/29/2002

Effective Date

04/29/2002

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020