RICHARD WAYNE MALIS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104239

License Status

ACTIVE

Business

First Name

RICHARD

Middle

WAYNE

Last Name

MALIS

Suffix

Business Name

RICHARD WAYNE MALIS MD

Original Issue Date

02/21/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

04/07/2023