GAUTAM MALIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052033

License Status

CANCELLED

Business

First Name

GAUTAM

Last Name

MALIK

Suffix

Business Name

GAUTAM MALIK MD

Original Issue Date

04/13/2011

Effective Date

04/13/2011

Expiration Date

07/12/2011

City

MIAMI BEACH

State

Zip

33139

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/13/2011