MALIK T BANDEALY Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086863

License Status

ACTIVE

Business

First Name

MALIK T

Last Name

BANDEALY

Business Name

MALIK T BANDEALY

Original Issue Date

07/20/1993

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2023