MATILDA SERWAA MALM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057336

License Status

EXPIRED

Business

First Name

MATILDA

Middle

SERWAA

Last Name

MALM

Suffix

Business Name

MATILDA SERWAA MALM MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2013

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013