COLLEEN A MALLOY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102036

License Status

ACTIVE

Business

First Name

COLLEEN

Middle

Last Name

MALLOY

Suffix

Business Name

COLLEEN A MALLOY MD

Original Issue Date

02/28/2000

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/07/2023