T MALLIKAMAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

INACTIVE

Business

First Name

Last Name

MALLIKAMAS

Suffix

Business Name

T MALLIKAMAS MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CLINTON

State

Zip

52372

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006