MICHAEL J SLATTERY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

SLATTERY

Suffix

Business Name

MICHAEL J SLATTERY MD

Original Issue Date

10/09/1986

Effective Date

10/09/1986

Expiration Date

07/31/2005

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017