MATTHEW SHAWN MALLARD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171089

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

SHAWN

Last Name

MALLARD

Business Name

MATTHEW SHAWN MALLARD MD

Original Issue Date

07/11/2024

Effective Date

07/11/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2024