JACK CREE MELLINGER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JACK CREE

Last Name

MELLINGER

Suffix

Business Name

JACK CREE MELLINGER MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1987

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006