MICHELLE M MINER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

MICHELLE

Middle

Last Name

MINER

Suffix

Business Name

MICHELLE M MINER MD

Original Issue Date

04/30/2002

Effective Date

07/14/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/14/2023