MELANIE DAWN PALM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047303

License Status

CANCELLED

Business

First Name

MELANIE

Middle

DAWN

Last Name

PALM

Suffix

Business Name

MELANIE DAWN PALM MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Dermatology

Ever Disciplined

LastModifiedDate

02/18/2011