DAVID GUY MALEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063671

License Status

NOT RENEWED

Business

First Name

DAVID GUY

Last Name

MALEN

Suffix

Business Name

DAVID GUY MALEN MD

Original Issue Date

12/16/1981

Effective Date

12/16/1981

Expiration Date

07/31/1987

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

11/12/2014

Case Number

2014007622

Action

Refuse To Renew

Discipline Start Date

10/07/2014

Discipline Reason

due to a sister state violation in Florida.