REBECCA E ORTIZ-MELVIN DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****77

NOT RENEWED

N

REBECCA

E

ORTIZ-MELVIN

DO

REBECCA E ORTIZ-MELVIN DO

07/02/2008

06/13/2011

07/31/2014

EAST PEORIA

IL

61611

TAZEWELL

PRACTITIONER

II III IV V

N

11/17/2014