RAFAEL ANDRES MELLER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116456

License Status

NOT RENEWED

Business

First Name

RAFAEL

Middle

ANDRES

Last Name

MELLER

Suffix

Business Name

RAFAEL ANDRES MELLER MD

Original Issue Date

07/12/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

COUDERSPORT

State

Zip

16915

Ever Disciplined

LastModifiedDate

11/06/2008