MELISSA J ERTL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000837

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

ERTL

Business Name

MELISSA J ERTL

Original Issue Date

11/15/2010

Effective Date

11/15/2010

Expiration Date

12/14/2010

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2011