CHRISTIAN R MALALIS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056388

License Status

CANCELLED

Business

Title

First Name

CHRISTIAN

Middle

Last Name

MALALIS

Business Name

CHRISTIAN R MALALIS MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014