MELISSA LEE BRANNEN MD - Medical Doctor License in Illinois | # 036109124

MELISSA LEE BRANNEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109124

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

LEE

Last Name

BRANNEN

Suffix

MD

Business Name

MELISSA LEE BRANNEN MD

Original Issue Date

04/30/2003

Effective Date

06/15/2011

Expiration Date

07/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

11/17/2014