MELODI G EWING MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092733

License Status

ACTIVE

Business

Title

First Name

MELODI

Middle

Last Name

EWING

Business Name

MELODI G EWING MD

Original Issue Date

05/21/1996

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/31/2023