BRETT JONATHAN MALO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057529

License Status

EXPIRED

Business

First Name

BRETT

Middle

JONATHAN

Last Name

MALO

Suffix

Business Name

BRETT JONATHAN MALO 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

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

10/07/2013