SHARON DYCKMAN MELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

SHARON DYCKMAN

Last Name

MELLER

Suffix

Business Name

SHARON DYCKMAN MELLER MD

Original Issue Date

05/16/1986

Effective Date

05/16/1986

Expiration Date

07/31/1987

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006