BRIAN THOMAS MICHALSEN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

THOMAS

Last Name

MICHALSEN

Business Name

BRIAN THOMAS MICHALSEN DO

Original Issue Date

09/01/2010

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023