MELISSA TOM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107617

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

TOM

Business Name

MELISSA TOM

Original Issue Date

08/05/2002

Effective Date

07/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

05/08/2014