Jantzen Michelle Pride Md
InactiveIllinois license 125083617
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125083617
- Status
- Inactive (Cancelled)
- First issued
- July 1, 2024
- Expires
- June 30, 2027
- License holder
- Jantzen Michelle Pride
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Family Medicine
- Current term began
- 07/01/2024
Other Illinois licenses under this name
-
IL
Jantzen Michelle Pride MdLicense 036181805 · Jantzen Michelle PrideLicensed Physician and Surgeon (Medical Board)ActivePeoria, ILExpires Jul 31, 2029
-
IL
Jantzen Michelle Pride MdLicense 33*****98 · Jantzen Michelle PrideLicensed Physician Controlled Substance (Medical Board)ActivePeoria, ILExpires Jul 31, 2029
Contact
Peoria, IL 61605
Peoria County