NATHAN CHARLES MELOY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112357

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

CHARLES

Last Name

MELOY

Suffix

Business Name

NATHAN CHARLES MELOY DO

Original Issue Date

09/16/2004

Effective Date

05/28/2008

Expiration Date

07/31/2011

City

HORTONVILLE

State

Zip

54944

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2011