SARA BETH MALONE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052205

License Status

CANCELLED

Business

Title

First Name

SARA

Middle

BETH

Last Name

MALONE

Business Name

SARA BETH MALONE MD

Original Issue Date

01/01/2007

Effective Date

01/01/2007

Expiration Date

12/31/2009

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/18/2007