ANNA MELISSA PACIS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053424

License Status

EXPIRED

Business

First Name

ANNA

Middle

MELISSA

Last Name

PACIS

Suffix

Business Name

ANNA MELISSA PACIS MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

NEW LENOX

State

Zip

60451

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/08/2010