MELISSA D SHUMATE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106238

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

SHUMATE

Business Name

MELISSA D SHUMATE

Original Issue Date

02/07/2002

Effective Date

02/07/2002

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006