CLAYTON R MALAKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

First Name

CLAYTON R

Last Name

MALAKER

Suffix

Business Name

CLAYTON R MALAKER MD

Original Issue Date

08/13/1987

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023