MICHELLE RUNDELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

MICHELLE

Last Name

RUNDELL

Business Name

MICHELLE RUNDELL

Original Issue Date

08/08/1997

Effective Date

08/08/1997

Expiration Date

07/31/1999

City

LAGRANGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020