CRAIG S MICHELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

CRAIG S

Last Name

MICHELSEN

Suffix

Business Name

CRAIG S MICHELSEN MD

Original Issue Date

02/20/1986

Effective Date

02/20/1986

Expiration Date

07/31/1993

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020