MICHAEL J PHEND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017