MATTHEW MARK MELIN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

MATTHEW

Middle

MARK

Last Name

MELIN

Business Name

MATTHEW MARK MELIN MD

Original Issue Date

07/24/2017

Effective Date

07/24/2017

Expiration Date

09/30/2020

City

PLYMOUTH

State

Zip

55447

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021