MICHELLE JOLIE CHASTAIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

JOLIE

Last Name

CHASTAIN

Business Name

MICHELLE JOLIE CHASTAIN MD

Original Issue Date

04/05/2013

Effective Date

05/01/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021