MICHAEL JOSEPH PARKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

MICHAEL JOSEPH

Last Name

PARKER

Suffix

Business Name

MICHAEL JOSEPH PARKER MD

Original Issue Date

04/28/1989

Effective Date

04/28/1989

Expiration Date

07/31/1999

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006