GARRY DAVID MELNICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

GARRY DAVID

Last Name

MELNICK

Suffix

Business Name

GARRY DAVID MELNICK MD

Original Issue Date

01/20/1983

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011