PETER JACOB MALAKER DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084948

License Status

ACTIVE

Business

Title

First Name

PETER

Middle

JACOB

Last Name

MALAKER

Business Name

PETER JACOB MALAKER DO

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/18/2024