MONICA JANINA FUDALA MELENDY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059759

License Status

CANCELLED

Business

Title

First Name

MONICA

Middle

JANINA

Last Name

FUDALA MELENDY

Business Name

MONICA JANINA FUDALA MELENDY MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014