MELANIE DIANA FOX DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/07/2019