MELISSA MARIE FISH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059366

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

MARIE

Last Name

FISH

Business Name

MELISSA MARIE FISH MD

Original Issue Date

06/10/2011

Effective Date

06/10/2011

Expiration Date

06/09/2014

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/02/2011