MONICA JANINA FUDALA MELENDY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

MONICA

Middle

JANINA

Last Name

FUDALA MELENDY

Business Name

MONICA JANINA FUDALA MELENDY MD

Original Issue Date

08/08/2014

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2023