MARK MICHAEL MIKHAEL 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

MARK

Middle

MICHAEL

Last Name

MIKHAEL

Suffix

Business Name

MARK MICHAEL MIKHAEL MD

Original Issue Date

12/04/2014

Effective Date

12/04/2014

Expiration Date

07/31/2017

City

DES PLAINES

State

Zip

60016

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020