LOREN K MELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

LOREN

Middle

Last Name

MELL

Suffix

Business Name

LOREN K MELL MD

Original Issue Date

09/13/2006

Effective Date

09/13/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008