MOKENGE P MALAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088612

License Status

NOT RENEWED

Business

First Name

MOKENGE P

Last Name

MALAFA

Suffix

Business Name

MOKENGE P MALAFA MD

Original Issue Date

06/21/1994

Effective Date

06/21/1994

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62694

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006