JIRI GEORGE MELICH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064239

License Status

EXPIRED

Business

Title

First Name

JIRI

Middle

GEORGE

Last Name

MELICH

Business Name

JIRI GEORGE MELICH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2015

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Colorectal Surgery/(MIS)

Ever Disciplined

LastModifiedDate

09/04/2015