CHRISTEN RAY MELLANO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132391

License Status

NOT RENEWED

Business

Title

First Name

CHRISTEN

Middle

RAY

Last Name

MELLANO

Business Name

CHRISTEN RAY MELLANO MD

Original Issue Date

04/11/2013

Effective Date

04/11/2013

Expiration Date

07/31/2014

City

WESTCHESTER

State

Zip

60154

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014