MICHAEL ANDREW NEGREY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ANDREW

Last Name

NEGREY

Suffix

Business Name

MICHAEL ANDREW NEGREY MD

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006