MARC JONATHAN MELLION DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046668

License Status

CANCELLED

Business

First Name

MARC JONATHAN

Last Name

MELLION

Suffix

Business Name

MARC JONATHAN MELLION DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006