MELANIE RENEE NUKALA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148962

License Status

NOT RENEWED

Business

Title

First Name

MELANIE

Middle

RENEE

Last Name

NUKALA

Business Name

MELANIE RENEE NUKALA MD

Original Issue Date

04/08/2019

Effective Date

05/27/2020

Expiration Date

07/31/2023

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023