CARLOS ANTONIO MELLA PICEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130535

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

ANTONIO

Last Name

MELLA PICEL

Business Name

CARLOS ANTONIO MELLA PICEL MD

Original Issue Date

06/08/2012

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

JACKSON

Ever Disciplined

LastModifiedDate

07/28/2023