MELISSA E MARBACK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018682

License Status

EXPIRED

Business

First Name

MELISSA E

Last Name

MARBACK

Business Name

MELISSA E MARBACK

Original Issue Date

06/20/1985

Effective Date

06/20/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006