CRAIG S MICHELSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

CRAIG S

Last Name

MICHELSEN

Suffix

Business Name

CRAIG S MICHELSEN MD

Original Issue Date

11/24/1992

Effective Date

06/09/2014

Expiration Date

07/31/2017

City

JANESVILLE

State

Zip

53548

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020