MELISSA LEE BRANNEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109124

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LEE

Last Name

BRANNEN

Suffix

Business Name

MELISSA LEE BRANNEN MD

Original Issue Date

04/30/2003

Effective Date

06/15/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014