ALAN MORRIS MELLOW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154040

License Status

ACTIVE

Business

Title

First Name

ALAN

Middle

MORRIS

Last Name

MELLOW

Business Name

ALAN MORRIS MELLOW MD

Original Issue Date

08/19/2020

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/29/2023