BRUCE W MELVIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000489

License Status

NOT RENEWED

Business

First Name

BRUCE W

Last Name

MELVIN

Business Name

BRUCE W MELVIN

Original Issue Date

03/06/1992

Effective Date

03/06/1992

Expiration Date

03/01/2008

City

LOGAN

State

Zip

62856

County

FRANKLIN

Ever Disciplined

LastModifiedDate

09/01/2009

Case Number

2007000555

Action

Suspension

Discipline Start Date

03/13/2008

Discipline Reason

indefinitely suspended for a minimum of three years for violations of Illinois Physician Assistant Practice Act and Illinois Controlled Substance Act