MELINDA L ALBA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050270

License Status

CANCELLED

Business

First Name

MELINDA

Middle

Last Name

ALBA

Suffix

Business Name

MELINDA L ALBA MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

WICHITA

State

Zip

67209

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006