EDWIN ROBERT MALONE JR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056564

License Status

EXPIRED

Business

Title

First Name

EDWIN

Middle

ROBERT

Last Name

MALONE

Suffix

Business Name

EDWIN ROBERT MALONE JR MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

08/29/2012