THOMAS R MALINICH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037337

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

MALINICH

Business Name

THOMAS R MALINICH

Original Issue Date

04/23/1998

Effective Date

04/23/1998

Expiration Date

06/25/2001

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006