MELODY ANNE MUMFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054932

License Status

CANCELLED

Business

Title

First Name

MELODY

Middle

ANNE

Last Name

MUMFORD

Business Name

MELODY ANNE MUMFORD MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2011

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/10/2008