GARY CRAIG MALLIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154035

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

CRAIG

Last Name

MALLIS

Business Name

GARY CRAIG MALLIS MD

Original Issue Date

08/19/2020

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

SCOTTSDALE

State

Zip

85255

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/24/2023