ERIC MICHAEL MALLETT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125880

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

MICHAEL

Last Name

MALLETT

Business Name

ERIC MICHAEL MALLETT MD

Original Issue Date

05/28/2010

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

09/07/2023