THOMAS J P MALVAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041571

License Status

CANCELLED

Business

First Name

THOMAS

Middle

J P

Last Name

MALVAR

Suffix

Business Name

THOMAS J P MALVAR MD

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006