MELISSA ROSE MILLEWICH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ROSE

Last Name

MILLEWICH

Suffix

Business Name

MELISSA ROSE MILLEWICH DO

Original Issue Date

05/18/2016

Effective Date

05/18/2016

Expiration Date

07/31/2017

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020