MELISSA Y MACIAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131646

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

Last Name

MACIAS

Business Name

MELISSA Y MACIAS MD

Original Issue Date

10/24/2012

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2017004487

Action

Permanent Inactive

Discipline Start Date

07/31/2017

Discipline Reason

due to allegations related to a sister-state discipline from Wisconsin based on unprofessional conduct.