MELISSA BRANNON GILLESPIE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

MELISSA

Last Name

BRANNON GILLESPIE

Business Name

MELISSA BRANNON GILLESPIE

Original Issue Date

07/27/1992

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017