MELISSA MARJORIE MORSE AGOUDEMOS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125447

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

MARJORIE MORSE

Last Name

AGOUDEMOS

Suffix

Business Name

MELISSA MARJORIE MORSE AGOUDEMOS MD

Original Issue Date

04/08/2010

Effective Date

05/30/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/01/2017