MICHELLE STACEY CHRISTOPHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

Title

First Name

MICHELLE

Middle

STACEY

Last Name

CHRISTOPHER

Business Name

MICHELLE STACEY CHRISTOPHER MD

Original Issue Date

03/10/2017

Effective Date

05/18/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

MASSACHUSETTS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021