MELANIE SUSANNAH WOOTEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153524

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

SUSANNAH

Last Name

WOOTEN

Business Name

MELANIE SUSANNAH WOOTEN MD

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

WINTERVILLE

State

Zip

30683

Ever Disciplined

LastModifiedDate

11/30/2023