MELISSA ANNE MACVENN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056948

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

ANNE

Last Name

MACVENN

Business Name

MELISSA ANNE MACVENN MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/15/2009