JENNIFER STEIB MELLIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JENNIFER

Middle

STEIB

Last Name

MELLIN

Suffix

Business Name

JENNIFER STEIB MELLIN MD

Original Issue Date

04/20/2010

Effective Date

04/20/2010

Expiration Date

07/31/2011

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020