LOREN K MELL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045794

License Status

CANCELLED

Business

First Name

LOREN

Middle

Last Name

MELL

Suffix

Business Name

LOREN K MELL MD

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006