MICHAEL W SAMPLE DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007593

License Status

NOT RENEWED

Business

First Name

MICHAEL W

Last Name

SAMPLE

Suffix

Business Name

MICHAEL W SAMPLE DC

Original Issue Date

11/05/1994

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

MUNSTER

State

Zip

46321

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2014007182

Action

Suspension

Discipline Start Date

02/24/2016

Discipline Reason

after Respondent was convicted of a felony.