MELANIE DIANA FOX DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054197

License Status

CANCELLED

Business

Title

First Name

MELANIE

Middle

DIANA

Last Name

FOX

Business Name

MELANIE DIANA FOX DO

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2011

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/20/2009