NITAYA MALIWAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045278

License Status

NOT RENEWED

Business

First Name

NITAYA

Last Name

MALIWAN

Suffix

Business Name

NITAYA MALIWAN MD

Original Issue Date

02/04/1972

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017