EMELIE T MEDALLE Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110060

License Status

ACTIVE

Business

First Name

EMELIE

Middle

Last Name

MEDALLE

Business Name

EMELIE T MEDALLE

Original Issue Date

09/05/2003

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

04/20/2023