NICOLE AMALIA MALEK DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050862

License Status

CANCELLED

Business

Title

First Name

NICOLE

Middle

AMALIA

Last Name

MALEK

Business Name

NICOLE AMALIA MALEK DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006