MELISSA LAUREN JAVELLANA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067614

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

LAUREN

Last Name

JAVELLANA

Business Name

MELISSA LAUREN JAVELLANA MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

06/11/2015