LAURA CHRISTIAN MICHAELIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

CHRISTIAN

Last Name

MICHAELIS

Suffix

Business Name

LAURA CHRISTIAN MICHAELIS MD

Original Issue Date

10/10/2003

Effective Date

04/05/2011

Expiration Date

07/31/2014

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014