MELISSA ANNE MACVENN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

ANNE

Last Name

MACVENN

Business Name

MELISSA ANNE MACVENN MD

Original Issue Date

09/13/2011

Effective Date

04/23/2014

Expiration Date

07/31/2017

City

OSWEGO

State

Zip

60543

County

KENDALL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017