MELISSA GO MEDINA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066928

License Status

EXPIRED

Business

Title

First Name

MELISSA

Middle

Last Name

MEDINA

Prefix

Business Name

MELISSA GO MEDINA MD

Original Issue Date

07/03/2018

Effective Date

07/03/2018

Expiration Date

07/02/2020

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020