MICHELLE SCHIRCH SHELLY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

Title

First Name

MICHELLE

Middle

SCHIRCH

Last Name

SHELLY

Business Name

MICHELLE SCHIRCH SHELLY MD

Original Issue Date

10/15/2022

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

GOSHEN

State

Zip

46526

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

06/04/2023