MICHAEL JOHN HALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JOHN

Last Name

HALL

Suffix

Business Name

MICHAEL JOHN HALL MD

Original Issue Date

08/24/2011

Effective Date

08/24/2011

Expiration Date

07/31/2014

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017