MALCOLM MC CLAIN STANLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

MALCOLM MC CLAIN

Last Name

STANLEY

Suffix

Business Name

MALCOLM MC CLAIN STANLEY MD

Original Issue Date

07/23/1991

Effective Date

07/23/1991

Expiration Date

07/31/1996

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006