MELISSA E MARBACK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

MELISSA E

Last Name

MARBACK

Business Name

MELISSA E MARBACK

Original Issue Date

06/10/1988

Effective Date

06/10/1988

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006