DAWN A MELLISH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036137255

License Status

NOT RENEWED

Business

Title

First Name

DAWN

Middle

Last Name

MELLISH

Business Name

DAWN A MELLISH MD

Original Issue Date

02/05/2015

Effective Date

02/05/2015

Expiration Date

07/31/2017

City

WEST HEMPSTEAD

State

Zip

11552

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017