MELISSA M RENDLEN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118777

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

RENDLEN

Business Name

MELISSA M RENDLEN

Original Issue Date

06/22/2007

Effective Date

07/08/2011

Expiration Date

07/31/2014

City

MICHIGAN CITY

State

Zip

46360

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014