RAYMOND RODERICK MALOTT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036026848

License Status

INACTIVE

Business

First Name

RAYMOND RODERICK

Last Name

MALOTT

Suffix

Business Name

RAYMOND RODERICK MALOTT MD

Original Issue Date

05/08/1946

Effective Date

05/08/1946

Expiration Date

07/31/1996

City

BOURBONNAISE

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/20/2006