JOSEPH B MALLORY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063108

License Status

ACTIVE

Business

First Name

JOSEPH B

Last Name

MALLORY

Business Name

JOSEPH B MALLORY

Original Issue Date

08/27/1981

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/27/2025