MELISSA YUWONO TJOTA MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070624

License Status

CLOSED

Business

Title

First Name

MELISSA

Middle

YUWONO

Last Name

TJOTA

Business Name

MELISSA YUWONO TJOTA MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

01/07/2020