NAMRATA MALLIK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050049

License Status

CANCELLED

Business

First Name

NAMRATA

Last Name

MALLIK

Suffix

Business Name

NAMRATA MALLIK MD

Original Issue Date

06/25/2005

Effective Date

06/25/2005

Expiration Date

06/24/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006