CARLOS ANTONIO MELLA PICEL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056702

License Status

CANCELLED

Business

Title

First Name

CARLOS

Middle

ANTONIO

Last Name

MELLA PICEL

Business Name

CARLOS ANTONIO MELLA PICEL MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2009