MELANIE J MENDOZA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

MELANIE J

Last Name

MENDOZA

Business Name

MELANIE J MENDOZA

Original Issue Date

05/12/1994

Effective Date

05/12/1994

Expiration Date

07/31/1999

City

PARIS

State

Zip

61944

County

EDGAR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006