DAPHNE BERNADETTE MLACHILA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077961

License Status

EXPIRED

Business

Title

First Name

DAPHNE

Middle

BERNADETTE

Last Name

MLACHILA

Business Name

DAPHNE BERNADETTE MLACHILA MD

Original Issue Date

06/26/2021

Effective Date

06/26/2021

Expiration Date

06/25/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/30/2024