MEL G MARILIM MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

CANCELLED

Business

First Name

MEL G

Last Name

MARILIM

Suffix

Business Name

MEL G MARILIM MD

Original Issue Date

10/18/2005

Effective Date

10/18/2005

Expiration Date

07/31/2008

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011