MICHELLE M TANSEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

TANSEY

Suffix

Business Name

MICHELLE M TANSEY MD

Original Issue Date

07/11/2002

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011