CHARLI ATHENA T MELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152600

License Status

ACTIVE

Business

Title

First Name

CHARLI ATHENA

Middle

Last Name

MELLA

Business Name

CHARLI ATHENA T MELLA MD

Original Issue Date

04/16/2020

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

FLOWER MOUND

State

Zip

75028

Ever Disciplined

LastModifiedDate

06/07/2023