MICHELE COULON WHITT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104727

License Status

NOT RENEWED

Business

Title

First Name

MICHELE

Middle

COULON

Last Name

WHITT

Business Name

MICHELE COULON WHITT MD

Original Issue Date

05/16/2001

Effective Date

01/15/2014

Expiration Date

07/31/2014

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014