PATRICK J MELVILLE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078994

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

Last Name

MELVILLE

Prefix

Business Name

PATRICK J MELVILLE MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

06/07/2022