MELANIE DIANA FOX DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128031

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

DIANA

Last Name

FOX

Business Name

MELANIE DIANA FOX DO

Original Issue Date

06/03/2011

Effective Date

06/03/2011

Expiration Date

07/31/2014

City

JACKSONVILLE

State

Zip

32205

Ever Disciplined

LastModifiedDate

11/17/2014