GARY ALLEN MALLY DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158761

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

ALLEN

Last Name

MALLY

Business Name

GARY ALLEN MALLY DO

Original Issue Date

11/12/2021

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

06/12/2023