GRACE L MALONEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065962

License Status

CANCELLED

Business

Title

First Name

GRACE

Middle

Last Name

MALONEY

Business Name

GRACE L MALONEY MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2017

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

06/18/2015