MELISSA EMILY PAVELACK DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151196

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

EMILY

Last Name

PAVELACK

Business Name

MELISSA EMILY PAVELACK DO

Original Issue Date

11/14/2019

Effective Date

11/14/2019

Expiration Date

09/30/2020

City

BALTIMORE

State

Zip

21287

Ever Disciplined

LastModifiedDate

01/14/2021