MELVIN CANMORE MALCOLM DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000325

License Status

EXPIRED

Business

First Name

MELVIN

Middle

CANMORE

Last Name

MALCOLM

Suffix

Business Name

MELVIN CANMORE MALCOLM DO

Original Issue Date

11/15/2007

Effective Date

11/15/2007

Expiration Date

05/14/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/26/2008