BRUCE C MALM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069675

License Status

ACTIVE

Business

First Name

BRUCE C

Last Name

MALM

Suffix

Business Name

BRUCE C MALM MD

Original Issue Date

10/17/1984

Effective Date

05/07/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2023