MICHELLE KATHRYN FLOYD REBOLLO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

KATHRYN

Last Name

FLOYD REBOLLO

Suffix

Business Name

MICHELLE KATHRYN FLOYD REBOLLO MD

Original Issue Date

08/05/2010

Effective Date

08/05/2011

Expiration Date

07/31/2014

City

CICERO

State

Zip

60804

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020