MARK EDWARD MELTON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000236

License Status

EXPIRED

Business

First Name

MARK EDWARD

Last Name

MELTON

Business Name

MARK EDWARD MELTON

Original Issue Date

01/22/1994

Effective Date

01/22/1994

Expiration Date

07/31/1994

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006