MICHAEL W VANNIER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

VANNIER

Suffix

Business Name

MICHAEL W VANNIER MD

Original Issue Date

07/07/2004

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

CRETE

State

Zip

60417

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017