TODD DOUGLAS MELLISH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038584

License Status

EXPIRED

Business

First Name

TODD

Middle

DOUGLAS

Last Name

MELLISH

Suffix

Business Name

TODD DOUGLAS MELLISH DO

Original Issue Date

06/23/1998

Effective Date

06/23/1998

Expiration Date

06/30/2001

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006