THOMAS L MICHALSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

THOMAS L

Last Name

MICHALSEN

Suffix

Business Name

THOMAS L MICHALSEN DO

Original Issue Date

07/19/1983

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

KIRKLAND

State

Zip

60146

County

DEKALB

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023