MELISSA EMILY PAVELACK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071400

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

EMILY

Last Name

PAVELACK

Business Name

MELISSA EMILY PAVELACK DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/02/2017