JACK CREE MELLINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052371

License Status

NOT RENEWED

Business

First Name

JACK CREE

Last Name

MELLINGER

Suffix

Business Name

JACK CREE MELLINGER MD

Original Issue Date

02/13/1976

Effective Date

02/13/1976

Expiration Date

07/31/1996

City

PAGOSA SPRINGS

State

Zip

81147

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006