TYRONE R MELVIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

TYRONE R

Last Name

MELVIN

Suffix

Business Name

TYRONE R MELVIN MD

Original Issue Date

08/25/1986

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017