MECHELLE EVETTE MORAGNE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

NOT RENEWED

Business

First Name

MECHELLE

Middle

EVETTE

Last Name

MORAGNE

Business Name

MECHELLE EVETTE MORAGNE

Original Issue Date

01/30/2003

Effective Date

01/30/2003

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006