JOHN EDWARD MALLON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122833

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

EDWARD

Last Name

MALLON

Suffix

Business Name

JOHN EDWARD MALLON MD

Original Issue Date

03/12/2009

Effective Date

05/15/2014

Expiration Date

07/31/2017

City

EWA BEACH

State

Zip

96706

County

HAWAII

Ever Disciplined

LastModifiedDate

11/01/2017