MELISSA ANDREA MARTINEZ MATEO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056433

License Status

EXPIRED

Business

Title

First Name

MELISSA

Middle

ANDREA

Last Name

MARTINEZ MATEO

Business Name

MELISSA ANDREA MARTINEZ MATEO MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHAMPAIGN

State

Zip

61801

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012