MICHELLE JEAN AHN 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

Title

First Name

MICHELLE

Middle

JEAN

Last Name

AHN

Business Name

MICHELLE JEAN AHN MD

Original Issue Date

08/05/2011

Effective Date

08/05/2011

Expiration Date

07/31/2014

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014