CHELAN ASHLEY MALMBERG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052629

License Status

CANCELLED

Business

First Name

CHELAN

Middle

ASHLEY

Last Name

MALMBERG

Suffix

Business Name

CHELAN ASHLEY MALMBERG MD

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/13/2008