MELSON PALLICKAL MESMIN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082647

License Status

ACTIVE

Business

Title

First Name

MELSON

Middle

PALLICKAL

Last Name

MESMIN

Business Name

MELSON PALLICKAL MESMIN DO

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2026

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/08/2023