LAURA JESSICA MALMUT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068014

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

JESSICA

Last Name

MALMUT

Business Name

LAURA JESSICA MALMUT MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

04/27/2016