GERALDINE ELEAZAR MALANA DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066819

License Status

EXPIRED

Business

Title

First Name

GERALDINE

Middle

ELEAZAR

Last Name

MALANA

Business Name

GERALDINE ELEAZAR MALANA DO

Original Issue Date

06/23/2015

Effective Date

06/23/2015

Expiration Date

06/22/2018

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018