PHILIP EDWIN MALINOSKY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048315

License Status

NOT RENEWED

Business

Title

First Name

PHILIP

Middle

EDWIN

Last Name

MALINOSKY

Business Name

PHILIP EDWIN MALINOSKY MD

Original Issue Date

09/19/1973

Effective Date

10/26/2017

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021