MANJULA RAY MALLICK, MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049090

License Status

NOT RENEWED

Business

First Name

MANJULA RAY

Last Name

MALLICK,

Suffix

Business Name

MANJULA RAY MALLICK, MD

Original Issue Date

03/26/1974

Effective Date

06/22/2011

Expiration Date

07/31/2014

City

ELMHURST

State

Zip

60126

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014