MELISSA ANN SIFUENTES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069229

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

ANN

Last Name

SIFUENTES

Business Name

MELISSA ANN SIFUENTES MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/18/2016