CEZAR LUPISAN MALLARI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060321

License Status

NOT RENEWED

Business

First Name

CEZAR LUPISAN

Last Name

MALLARI

Suffix

Business Name

CEZAR LUPISAN MALLARI MD

Original Issue Date

05/16/1980

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

11/30/2023