PATRICK LAWRENCE MALLORY DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038387

License Status

EXPIRED

Business

First Name

PATRICK

Middle

LAWRENCE

Last Name

MALLORY

Suffix

Business Name

PATRICK LAWRENCE MALLORY DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006