ALAN MORRIS MELLOW MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125012554

License Status

EXPIRED

Business

Title

First Name

ALAN

Middle

MORRIS

Last Name

MELLOW

Business Name

ALAN MORRIS MELLOW MD

Original Issue Date

06/17/1981

Effective Date

06/17/1981

Expiration Date

06/25/1983

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006