DAVID MICHAEL MELAMED MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

DAVID

Middle

MICHAEL

Last Name

MELAMED

Suffix

Business Name

DAVID MICHAEL MELAMED MD

Original Issue Date

05/26/2005

Effective Date

08/26/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/26/2008