MELISSA ALEJANDRA MEJIA BAUTISTA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073979

License Status

CANCELLED

Business

Title

First Name

MELISSA

Middle

ALEJANDRA

Last Name

MEJIA BAUTISTA

Business Name

MELISSA ALEJANDRA MEJIA BAUTISTA MD

Original Issue Date

06/23/2019

Effective Date

06/23/2019

Expiration Date

06/22/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/10/2019