MICHELLE ANNETTE MELYN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

MICHELLE ANNETTE

Last Name

MELYN

Suffix

Business Name

MICHELLE ANNETTE MELYN MD

Original Issue Date

09/04/1987

Effective Date

09/04/1987

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020