ALLEN BERT MALNAK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033698

License Status

INACTIVE

Business

First Name

ALLEN BERT

Last Name

MALNAK

Suffix

Business Name

ALLEN BERT MALNAK MD

Original Issue Date

09/09/1955

Effective Date

09/09/1955

Expiration Date

07/31/2002

City

BONITA SPRINGS

State

Zip

34135

Ever Disciplined

LastModifiedDate

10/09/2006