MICHAEL JOHN HALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113664

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

HALL

Suffix

Business Name

MICHAEL JOHN HALL MD

Original Issue Date

05/12/2005

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017