ROBERT LAWRENCE MALENCH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039056

License Status

INACTIVE

Business

First Name

ROBERT LAWRENCE

Last Name

MALENCH

Suffix

Business Name

ROBERT LAWRENCE MALENCH MD

Original Issue Date

05/21/1964

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/08/2014