REBECCA E ORTIZ-MELVIN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121260

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

ORTIZ-MELVIN

Suffix

Business Name

REBECCA E ORTIZ-MELVIN DO

Original Issue Date

06/25/2008

Effective Date

06/13/2011

Expiration Date

07/31/2014

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/17/2014