DARRYL EVAN MALAK Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028041

License Status

EXPIRED

Business

First Name

DARRYL EVAN

Last Name

MALAK

Business Name

DARRYL EVAN MALAK

Original Issue Date

05/13/1992

Effective Date

05/13/1992

Expiration Date

06/22/1993

City

CHICAGO

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006