MELISSA A IXCAMEY MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207497

License Status

NOT RENEWED

Business

Title

First Name

MELISSA

Middle

Last Name

IXCAMEY

Business Name

MELISSA A IXCAMEY MD

Original Issue Date

10/27/2011

Effective Date

03/16/2015

Expiration Date

03/31/2016

City

OAK PARK

State

Zip

60304

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016