MELISSA ANN DENIEL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100261

License Status

INACTIVE

Business

First Name

MELISSA

Middle

ANN

Last Name

DENIEL

Suffix

Business Name

MELISSA ANN DENIEL MD

Original Issue Date

05/25/1999

Effective Date

05/25/1999

Expiration Date

07/31/2005

City

GRAND RAPIDS

State

Zip

49506

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006