MELISSA E MARBACK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075149

License Status

NOT RENEWED

Business

First Name

MELISSA E

Last Name

MARBACK

Business Name

MELISSA E MARBACK

Original Issue Date

06/11/1987

Effective Date

06/11/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006