CHESTER JOHN MELLIES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

CHESTER JOHN

Last Name

MELLIES

Suffix

Business Name

CHESTER JOHN MELLIES MD

Original Issue Date

01/01/1997

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023