MICHAEL J PHEND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138695

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

PHEND

Business Name

MICHAEL J PHEND MD

Original Issue Date

07/15/2015

Effective Date

07/15/2015

Expiration Date

07/31/2017

City

GOSHEN

State

Zip

46526

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017