JESUS V MALLARI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014909

License Status

EXPIRED

Business

First Name

JESUS V

Last Name

MALLARI

Suffix

Business Name

JESUS V MALLARI MD

Original Issue Date

07/30/1982

Effective Date

07/30/1982

Expiration Date

07/19/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006