MAMTA A MALIK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112097

License Status

NOT RENEWED

Business

First Name

MAMTA

Middle

Last Name

MALIK

Suffix

Business Name

MAMTA A MALIK MD

Original Issue Date

08/12/2004

Effective Date

07/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014