MARK EDWARD MCMELLEN MD - Medical Doctor License in Missouri | # 036150905

MARK EDWARD MCMELLEN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036150905

License Status

NOT RENEWED

Business

N

Title

MD

First Name

MARK

Middle

EDWARD

Last Name

MCMELLEN

Business Name

MARK EDWARD MCMELLEN MD

Original Issue Date

09/30/2019

Effective Date

09/30/2019

Expiration Date

09/30/2020

State

MO

Ever Disciplined

N

LastModifiedDate

01/14/2021