MICHAEL J FISHBEIN 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 J

Last Name

FISHBEIN

Suffix

Business Name

MICHAEL J FISHBEIN MD

Original Issue Date

09/19/1990

Effective Date

09/19/1990

Expiration Date

07/31/1993

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

09/26/2006