KRISHNA MALLIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107192

License Status

NOT RENEWED

Business

First Name

KRISHNA

Last Name

MALLIK

Suffix

Business Name

KRISHNA MALLIK MD

Original Issue Date

06/13/2002

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

SCOTTSDALE

State

Zip

85251

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/01/2017