MALIK T BANDEALY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026909

License Status

EXPIRED

Business

First Name

MALIK T

Last Name

BANDEALY

Business Name

MALIK T BANDEALY

Original Issue Date

05/23/1991

Effective Date

05/23/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006