FEROZAN MALAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045394

License Status

EXPIRED

Business

First Name

FEROZAN

Last Name

MALAL

Suffix

Business Name

FEROZAN MALAL MD

Original Issue Date

07/26/2002

Effective Date

07/26/2002

Expiration Date

07/25/2005

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006