DAVID MICHAEL MELLMAN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042290

License Status

EXPIRED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

MELLMAN

Suffix

Business Name

DAVID MICHAEL MELLMAN MD

Original Issue Date

06/25/2001

Effective Date

06/25/2001

Expiration Date

06/24/2004

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006