MELANIE CLAIRE DISPENZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140029

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

CLAIRE

Last Name

DISPENZA

Business Name

MELANIE CLAIRE DISPENZA MD

Original Issue Date

03/15/2016

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021