MICHAEL JOHN SERGEANT 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 JOHN

Last Name

SERGEANT

Suffix

Business Name

MICHAEL JOHN SERGEANT MD

Original Issue Date

01/01/1997

Effective Date

07/12/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61103

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021