MELINDA ANN BLIETZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039452

License Status

EXPIRED

Business

First Name

MELINDA

Middle

ANN

Last Name

BLIETZ

Suffix

Business Name

MELINDA ANN BLIETZ MD

Original Issue Date

06/23/1999

Effective Date

06/23/1999

Expiration Date

06/22/2000

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006