JONATHAN MALLORY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081365

License Status

ACTIVE

Business

Title

First Name

JONATHAN

Last Name

MALLORY

Business Name

JONATHAN MALLORY MD

Original Issue Date

06/22/2023

Effective Date

06/22/2023

Expiration Date

06/21/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/20/2023