MELISSA ANNE MACVENN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128446

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANNE

Last Name

MACVENN

Business Name

MELISSA ANNE MACVENN MD

Original Issue Date

07/12/2011

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

11/01/2017