CARLOS ANTONIO MELLA PICEL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

CARLOS

Middle

ANTONIO

Last Name

MELLA PICEL

Business Name

CARLOS ANTONIO MELLA PICEL MD

Original Issue Date

06/08/2012

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023