TIMOTHY PHILIP MICHALS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

PHILIP

Last Name

MICHALS

Business Name

TIMOTHY PHILIP MICHALS MD

Original Issue Date

03/09/2012

Effective Date

07/16/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017