CORY EDWARD MELLON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072634

License Status

CANCELLED

Business

Title

First Name

CORY

Middle

EDWARD

Last Name

MELLON

Business Name

CORY EDWARD MELLON MD

Original Issue Date

06/20/2018

Effective Date

06/20/2018

Expiration Date

06/19/2021

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/10/2018